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Bright Bodies

Weight Management Program for Children

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Yale Center for Clinical Investigation and
Pediatric Endocrinology, Yale School of Medicine

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Education • Exercise • Lifestyle Modification
  
Thank you for filling out the form below.
The field marked with (*) are required fields.
Child's First Name
* Child's Last Name
* Parent's/Guardian's Name
* Child's birthday
* Address
Address 2
* City
* State
* Zip Code
* Telephone
Email Address
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***Any personal information sent to Bright Bodies is kept strictly confidential.  We never send any personal information to third parties.  Collection of all personal information is in compliance with HIPPA requirements.***