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We are committed to your privacy. This form is for general questions, inquiries about availability, and messages to Northwest Sexual Counseling. Please do not include confidential information regarding your health in this form. We generally respond to your communication within 48 hours, save weekends. If you prefer telephone, please feel free to call Zita. 

By clicking send you agree that the phone number you provided may be used to contact you (including autodialed or pre-recorded calls). Consent is not a condition of purchase.

We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.

By clicking send you agree that the phone number you provided may be used to contact you (including autodialed or pre-recorded calls). Consent is not a condition of purchase.

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