Couples/Partners Contact Form

Free Information and Resource for Spouses/Partners and Couples

Grace Myhill, MSW, Director of The Peter M. Friedman Neurodiverse Couples Institute, Director of Couples and Partner's Services is available to respond to your questions or concerns, provide support and information, and help you find resources and referrals.

Schedule a call or use the form below to contact Grace.

By submitting this form, you are opting in to email communication from AANE. You may update your email preferences at any time by clicking the unsubscribe link at the bottom of AANE emails, excluding confirmation and reminder emails.
Contact information:
Your First Name*
Your Last Name*
Email*
Enter Email Confirm Email
Primary phone number*
Type of phone
Your Location Information:
Street Address*
City*
State*
Postal Code*
Country*
Affiliation
Please indicate your relationship to the individual with an Asperger/autism profile you are contacting us about.*
Please check all boxes that apply to you.
- Self
- Partner/spouse
- Parent of adult
- Parent of teen
- Parent of child
- Grandparent
- Sibling
- Child (my parent has an Asperger/autism profile)
- Other family member
- Friend
- Educator
- Other professional
- No relationship, interested in learning more
First Name of person you are contacting us about*
Last Name of person you are contacting us about*
Is this your first contact with AANE?*
- Yes
- No
How did you hear about us?*
How can we help?*
Demographic information (optional)
By filling out these fields, you help us gain insight into how we can help our entire community. Your personal information is protected by our privacy policy and is not shared with anyone outside of AANE.
Birth Year
For person with an Asperger/autism/neurodiverse profile
Gender
For person with an Asperger/autism/neurodiverse profile
Pronouns
For person with an Asperger/autism/neurodiverse profile
Ethnicity
For person with an Asperger/autism/neurodiverse profile.
Race
For person with an Asperger/autism/neurodiverse profile.
What interests does the person you are contacting us about have?
This helps us plan programming of interest to our community
What is your professional background?
This helps us plan networking events for our community
Hidden
Would you like to receive regular email communications from AANE?
If this question is left blank you will receive email from AANE.
- Yes
- No
Would you like to receive periodic postal mail from AANE?
If this question is left blank you will receive postal mail from AANE.
- Yes
- No
Additional options:
- Please email me an invitation to join the Spouse/Partner online discussion forum.
- Please send me a link to sign up for neurodiverse couples coaching.
- Please send me a link to learn more about couples/partners events or groups.
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Email
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Couples/Partners Contact Form

Free Information and Resource for Spouses/Partners and Couples

Schedule a call or use the form below to contact Grace.

Contact information:

Your Location Information:

Affiliation

Demographic information (optional)