Update My Directory Listing

Update My Directory Listing

Please only fill in the fields that need to be updated on your current profile.
For any irregularities or problems with your Profile, and for any special instructions or information to explain your updates and request, please fill out the box at the end titled Comments/clarifying instructions for the directory editor: A real person makes these edits directly to your profile so please feel free to explain your requests in-depth.

Remember that your Profile will link directly to your own webpage, so it may be wise to keep your details about your Areas of Expertise and your Services Offered more brief in your profile, and then more expanded and in-depth at your website.

Click or drag a file to this area to upload.
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.

Changes are not automatic. Please allow at least 3 business days for your directory entry to be updated. If you have a concern that your directory listing has not been updated in a timely manner, feel free to email mmhainfo@mormonmentalhealthassoc.org