info@ZRCounselingservices.com | (703) 267-5703 |10623 Jones Street Suite 301A Fairfax, VA 22030

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10623 Jones Street Suite 301A Fairfax, VA 22030

(703) 267-5703
info@ZRCounselingservices.com



10623 Jones Street Suite 301A
Fairfax, VA 22030

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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