Social Workers of Alabama | Social Work Supervision in Alabama | Clinical Supervision in Alabama | Alabama Social Work Supervision | Counselors in Alabama | Therapists in Alabama

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.