Carolina Counseling Services - Patient Forms
How Do I Set Up my FIRST Appointment?
- Call: (910) 485-6336 (Fastest way to schedule)
- Text: (910) 308-3291 (Reply will be via phone)
- Email: Click to send email (You must include your phone number, because replies will only be made by telephone to ensure security/privacy)
- Call or Text for your New Patient Appointment Anytime!
- Appointment scheduling for NEW clients: Mon-Fri 8:30am-5:15pm
- New client appts may be scheduled when therapists have openings, which may include daytime, evenings and weekends.
- Established/Standing Appointments are made directly with your therapist!
- Some Therapists schedule appointments Mon-Fri 8am-8pm and Saturdays (if requested)
- Referrals: MOST beneficiaries do NOT need a Referral!
- 1310 Raeford Rd Suite 2 Fayetteville, NC 28305
ADMIN OFFICE FOR NEW CLIENT REGISTRATION:
(For your First Appointment, come to this location unless otherwise directed)
Forms and Documents
Please review the following documents:
What to do when you arrive, scheduling appointments and how to contact your therapist.
Information on when and how to cancel an appointment.
HIPAA: Health Insurance Portability and Accountability Act...Detailed information about how CCS handles your personal information.
Information on your rights as a Medicaid or Tricare patient.
Forms that require your information and signatures before being seen: (PDF format) (Please print the following forms, fill them out and bring them to your appointment.)
This form requests client and insurance information.
An acknowledgement of your registration.
Please annotate everything you're experiencing -- this will help start the conversation between you and your new therapist.
Please fill in all applicable areas -- this will help the counselor/therapist connect with the Child/Adolescent.
If you have questions prior to your visit, review our website's Questions page. Or any concerns about the insurances we accept: Medicaid, Medicare, Blue Cross Blue Shield, NC Health Choice, Tricare or other - we're sure the insurance pages will answer your questions. For a break down of fees - see our Fees page and our Services page will give you a complete listing of our services.
We can Help! Call NOW!
Confidential / Private Sessions
Carolina Counseling Services contracts independently with Licensed professional counselors/therapists/psychologists who provide a friendly, relaxed atmosphere to everyone. Carolina Counseling Services independently contracted therapists assist individuals, couples, families, and children with counseling services that will help put your life back on track. Working with both non military and military is a joy and the therapist you choose will be happy to assist you whether you are a "civilian", or if you are a dependent or retiree.
Counseling and Therapy are often used interchangeably in our English language. The same is true for Counselor and Therapist. It really doesn't matter which word you use. When you need help, it is best to talk to someone who is not only objective, but who has had lots of experience helping others who have been in similar situations as yourself. A friendly Counselor or Therapist who is trained, licensed and experienced is the one who can assist the most. You don't have to figure it out alone. All independently contracted therapists are licensed, friendly professionals. Call to schedule your appt now!
Evening and Weekend Appts Available with specific independently contracted therapists
Evening and Weekend appointments: We have independently contracted therapists available for appointments from 8am to 8pm Monday through Friday. Some therapists have Saturday appointments available if requested.
Serving Areas: Carolina Counseling Services
Counties: Cumberland, Hoke, Bladen, Sampson, and Robeson Counties, NC
Areas: Fayetteville NC, Ft Bragg NC, Pope Field NC, Hope Mills NC, Raeford NC, Rockfish NC, Sliver City NC, Linden, Cedar Creek NC, Bowmore NC, Autryville NC, Parkton NC, Bunnlevel NC, Erwin NC, Dundarrach NC, Broadway NC, Pineview NC, Lumber Bridge, NC, Rex NC, Lemon Springs NC, Johnsonville NC, Eastover NC, Stedman NC and Wade, NC.
Military Community areas: Ardennes NC Bataan NC, Casablanca NC, Anzio Acre, NC, Corregidor NC, Bougainville NC, Hammond Hills NC, Nijimegen NC, Cherbourg NC, Normandy NC, Bastogne NC, Pope NC, Ste Mere Eglise NC,
Zip Codes: 28301, 28302, 28303, 28304, 28305, 28306, 28307, 28309, 28311, 28312, 28314