Request to Change Groups

This form is used only for non-urgent communication with your clinical team.

For emergencies, please call 9-11.

For urgent requests related to your care at BrightView, please call us 24/7 at 1-833-510-HELP. For non-urgent requests, please fill out the form below. The information will be shared with your clinical care team, and we will respond within 2 business days if a response is needed.