Online Intake Form Skip to main content

You are here

Online Intake Form

Your Initial Consultation is absolutely FREE.

You can set up an initial consultation and just come in.

You don't have to do a thing. You don't have to get prepared.

All we ask is that you:

(1) Grab up your bills and bring them with you and
(2) If you have a paycheck stub, bring that along to.

However...some people like to speed up the process.

Are you one of those people? If so, for you...we have attached to this website our "online" Intake Form....so that you can fill it out ahead of time. Please "click" on the button below:



Instructions

(1) Fill out the "online" Intake Form to the best of your ability. If you don't understand a question or don't know an answer, don't worry about it. Just do the best you can. We will help you finish answering the Intake Form when you come in for your appointment.

(2) At the end of the form, when you are finished, please remember to click on the "SUBMIT" button. Doing so will make sure the form gets sent to our office.

Debts Hurt! Got debt? Need help? Get started below!

What North Carolina County Do You Reside In?