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Request an Appointment

To speed up scheduling your first appointment, you have the option of completing our Appointment Request Form. Your information will be kept strictly confidential. Please fill out all required fields below marked with an asterisk (*). Once submitted, someone from the Intake Department will contact you within 2 business days. We look forward to speaking with you further.
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Privacy Policy: Privacy Policy: The Philadelphia Consultation Center is committed to protecting the privacy of all visitors to We do not collect any information that personally identifies you or allows you to be personally contacted unless you intentionally and voluntarily provide that information yourself, for example if you email the webmaster, or if you submit a web form.

If you willingly and intentionally provide us with any personal information via this website, we will not share that information with any other party. We will not contact you unless you request a response and provide your contact information.