In the HEADLINES and HATE it?

Is your name in the headlines & you can't stand it?

Have you been involved in a news story in your hometown & it is ruining your life?

Do you need to set the record straight after your name was destroyed in the news?

If your life has been ruined because your name was in the news and you are willing to participate on the show to get help from Dr. Phil, tell us your story below!
 
* Required Fields
* First Name
* Last Name
* Birthday
* E-mail Address
* Street Address
* City
* State
Province/Region (if outside U.S.)
* Zip/Postal Code
* Country
* Day Phone
Evening Phone
Cell Phone
* Are you willing to appear on the show? yes no
* Message