Need to Clear Your Name?

Do you need to clear your name?

Were you accused of something you didn't do?

Has your reputation been ruined based off things you didn't do?

Do you want to confront someone for ruining your reputation?

Were you accused of a crime that you didn't commit?

If you need to clear your name and are willing to be on national television to get the help from Dr. Phil, tell us your story below!

NOTE: By filling this out, you understand you MAY BE CONTACTED to appear ON THE SHOW.  If you are unwilling to go on television, please do not respond.
 
* Required Fields
* First Name
* Last Name
* Birthday
* E-mail Address
* Street Address
* City
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Province/Region (if outside U.S.)
* Zip/Postal Code
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* Day Phone
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* Are you willing to appear on the show? yes no
* Message