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Rising Phoenix Counseling Services, PLLC

Rising Phoenix Counseling Services, PLLC

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    • Telehealth
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    • Couples Therapy
    • Pre Marital Counseling
    • Intensive for Couples
    • Saying Goodbye

New Patient Forms

Please print out to sign and inItial all documents in spaces provided. COUPLES EACH NEED TO FILL OUT NEW PATIENT FORM;OTHERWISE YOU MAY SIGN/INITIAL ABOVE/BELOW ONE ANOTHER IN SPACE PROVIDED.IF YOU DON’T HAVE AN APPOINTMENT PLEASE SHEDULE ONE BEFORE YOU SEND DOCUMENTS. PLEASE FAX TO (833)-964-0863
Informed ConsentDownload
Privacy PracticesDownload
Adult Intake InsuranceDownload
New Patient FormDownload

Get in Touch

308 Hay Street, Suite G
Fayetteville, NC 28301
USA
(910)-964-4673
Laila@RisingPhoenixPLLC.Com
Rising Phoenix Counseling Services, PLLC ,