Health Anxiety

Content to come…

Contact

76 Bedford st, Suite 12
Lexington, MA 02420

(781) 226-1196
info@empoweredbh.com

Name *

Email *

Phone

Preferred Date & Time

How were you referred to Empowered Behavioral health?

Comment or Message

If seeking therapy or coaching, please briefly describe the reason you are seeking services and what days/times you may be available.

Are you a former client of Dr. Power's?

By submitting this form via this web portal, you acknowledge and accept that 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. *

Yes, I want to submit this form

Phone

Contact information

76 Bedford st, Suite 12 Lexington MA 02420

(781) 226-1196

info@empoweredbh.com

Empowered Behavioral Health, LLC

Privacy Policy | Website by Brighter Vision