info@ZRCounselingservices.com | (703) 267-5703 |8003 Forbes Place Springfield , VA 22151

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8003 Forbes Place Springfield , VA 22151

(703) 267-5703
info@ZRCounselingservices.com



8003 Forbes Place
Springfield , VA 22151

info@ZRCounselingservices.com
(703) 267-5703

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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.

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