Forms
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