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600 E Davis St, Suite 3E Evanston, IL 60201

(312) 458-9258 x2

daraweil@yahoo.com

Dara M. Weil, Psy.D., LLC logo | Therapist in Evanston, IL

600 E Davis St, Suite 3E
Evanston, IL 60201

daraweil@yahoo.com
(312) 458-9258 x2

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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.