Carolina Counseling Services - Patient Forms
How Do I Set Up my FIRST Appointment?
- Call: (910) 246-0827 (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!
- Referrals: MOST beneficiaries do NOT need a Referral!
New Patient Forms
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.
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.
Confidential / Private Sessions
Carolina Counseling Services contracts with Licensed professional counselors/therapists/psychologists who provide a friendly, caring, and relaxed atmosphere in the Southern Pines/Pinehurst/Aberdeen/Raeford area. These independently contracted therapists/counselors assist adult individuals, couples, families, and children with resolving issues and getting back to enjoying their lives. Whether you are non-military or military, the independently contracted therapists with Carolina Counseling Services-Southern Pines are able and happy to assist you!
Serving Areas: Carolina Counseling Services
Counties: Moore county, NC, Lee County, NC, Montgomery County, NC, Richmond County, NC, Randolph County, NC, Chatham County, NC
Cities: Southern Pines NC, Pinehurst NC, Aberdeen NC, Taylortown NC, Pinebluff NC, West End NC, Seven Lakes NC, Eagle Springs NC, Ashley Heights NC, Ashmont NC, Five Points NC, Wind Blow NC, Jackson Springs NC, Whispering Pines NC, Vass NC, Cameron NC, Carthage NC, Eastwood NC, Lakeview NC, Narrow Ridge NC, Robbins NC, Roseland NC, Tramway NC, Troy NC, Zion Grove NC, Biscoe NC