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Initial Inquiry Form

Psychology and Neuroscience Community Clinic

To request services or submit a question, please use the form below. This form should be completed by, or with, the potential client.

Thank you so much for your interest in our clinic’s services! We hope to respond to your inquiry within a couple of business days. At the start of the academic semester, August/September and January/February, we receive a large amount of inquiries and may be slow to respond. If you have not received a response within 2-3 business days, please reach us at or leave a voicemail at 919-962-6906. The Psychology and Neuroscience Community Clinic is solely appointment based and we cannot accept walk-ins. We do not have a full-time staffed telephone number nor 24/7 emergency coverage. For emergency services, please see this link.