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    36 Plaza Street East Suite 1A | Brooklyn, NY 11238
    elirosenblatt@yahoo.com | 917-494-8787

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    Appointment Request

    Please complete the form below to schedule an appointment and Eli will contact you within 24 hours to arrange a free phone consultation!

    Eli can also be reached at 917-494-8787 or via email at elirosenblatt@yahoo.com. 


    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.

    Eli Rosenblatt Therapy
    elirosenblatt@yahoo.com | 917-494-8787

    36 Plaza Street East Suite 1A | Brooklyn, NY 11238

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