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If you're a new client, please complete the following forms and bring them to your first therapy session.
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free, Click here.

CONTACT ME

Please do not submit any Protected Health Information (PHI).

Serving North Carolina via TeleCounseling

Contact Information
Email: paul@eaglepllc.com

MY AVAILABILITY

By Appointment Only

9:00 am - 6:00 am
Monday
Appointment Only
Tuesday
9:00 am - 6:00 am
Appointment Only
Wednesday
9:00 am - 6:00 am
Appointment Only
Thuirsday
9:00 am - 6:00 am
Appointment Only
9:00 am - 6:00 am
Friday
Appointment Only
Weekend
Closed

MY AVAILABILITY

By Appointment Only

Monday
9:00 am - 6:00 am
Appointment Only
Tuesday
9:00 am - 6:00 am
Appointment Only
Wednesday
9:00 am - 6:00 am
Appointment Only
Thursday
9:00 am - 6:00 am
Appointment Only
Friday
9:00 am - 6:00 am
Appointment Only
Weekend
Closed