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Please use this form for all general correspondence with Suzanne and CloserCouples.

CloserCouples would like the contact information of both you and your partner so that we can begin a conversation all together. For that reason, if you are ready to do so, please list both your name/email and your partner’s, and we’ll correspond with you both from the outset.

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Partner 1 *

Partner 1 Email *


Partner 2

Partner 2 Email


Contact regarding
New Intensive Therapy Consultation
Returning Couple Request for Followup
Clinical Expertise/ Training
Other


Statement Of Understanding:* I understand that although CloserCouples communications are passively encrypted, emails and voicemail messages can still be vulnerable to unauthorized access. By submitting this form I give permission for Suzanne Pratt to email me or leave a voicemail message for me in response to this inquiry.



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