Couples & Relationship Therapy | Dr. Lisa Hardebeck | Renew Psychology Services

Book an appointment

Use this form to request an appointment. You will receive a prompt reply with available appointment times.

I would like an appointment for (check any that apply)

1) Weekly couples/relationship therapy (recommended for most couples)

2) Discernment, ad-hoc, or intensive couples therapy (click the "Services" link for explanations of these)

3) Premarital counseling

4) Individual counseling (typically "Walk and Talk" therapy)

5) Other/unsure

Your full name

Phone (optional)

If you checked options 1, 2 or 3 above (couples therapy) please provide the other person's full name, email, and phone number, so they can be CC'd on our communications. (Unless you feel it would be better to include them at a later time.)

If you feel your age(s) and gender(s) would be relevant to therapy, please provide that information here.

If you would like to provide any additional information or explanation regarding your circumstances, you may do so here.

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I agree to the security statement above.