Get in touch!

Because we are meeting with clients, we are not able to answer phone calls for scheduling or new patient inquiries. Please use this contact form. You will hear back from us within one business day.

Name

First Name

Last Name

Phone number

(###)

###

####

Partner's Name

First Name

Last Name

Phone number

(###)

###

####

Are you interested in working with a particular clinician? The therapist will respond via email within 1 business day.

If so, choose their name below. If not, select "Any."

State

Please write the state you will be in while receiving services. Our providers are able to provide services in North Carolina, Virginia, West Virginia, Ohio and Rhode Island.

Is there anything you'd like to share prior to our conversation?

Note: Please do not include Personal Health Information in this form.

Acknowledgement of Payment Responsibility

I understand that relationship work is not a medical service, and that Relationship Repair does not accept insurance. Please type I agree in the box below to acknowledge you have read and agree to the statement above.

Relationship Repair does not provide medical diagnosis for couples counseling.

I acknowledge my understanding that Relationship Repair will not provide a medical diagnosis for couples counseling. I acknowledge it is my responsibility to check with my insurance company about coverage of Z codes if I plan to submit a superbill for out of network reimbursement. Please type I agree to above statement to acknowledge you have read and understand the above statement.

How did you find us?

We know how difficult it can be to find couples counseling, and we do our best to make it an easy process. Please let us know how you found our website.

Contact Information

Relationship Repair
1148 Executive Circle

Suite 6

Cary, NC 27511

Telehealth throughout North Carolina, West Virginia, Virginia and Ohio

In person appointments available in Cary, NC