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Partner 1 Information

Partner 2 Information

Preferred Initial Follow-Up Contact

Preferred Methods of Communication

Select all methods of communication we may use.

Are you currently, or have you previously been a client of DC Psychological Services? *

Partner #1 Information
Partner #2 Information
Do you have a preference for who you see?
Please select your preferred time and day for therapy. Select all that apply. We will do our best to accommodate your request dependent on psychologist availability.
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Inquire About Couples Therapy

Submit information if you would like to schedule an initial session for couples therapy.

Our office will contact you within 2 - 3 business days.

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Please enter information for the people who will be receiving therapy.

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