Online Intake Form (Over-the-Phone version)

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Thank you for contacting our office.

As you know, we are going to do your initial consultation "over the phone".

However, to do so and make sure we don't miss something important about your situation, we need for you to fill out our intake form.

Fortunately, you can do so right here "online".

Just click on this button and fill out the form as best you can:

Fill out intake form

We understand that the form is long, but please rest assured that there is nothing asked that we don't need to know about. Our goal is to answer all your questions and to give you answers you can count on. To do so, we need for you to supply us with information that is both thorough and complete, to the best of your ability. The more thorough and complete your answers are, the more thorough and complete our answers and advice will be.

When you get to the end of the intake form, please make sure you click on the "SUBMIT" button. Doing so will send the form to our office so that we can refer to it when we talk to you over the phone.

Just so you know: If you don't understand a question, can't figure out what we are asking, or just don't know the answer, don't worry about it. Just do the best you can. We will take it from there. If need be, we can always get more information from you later on.

Thank you for taking the time to fill out our intake form.

We look forward to speaking with you.

John T. Orcutt

Attorney

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Serving North Carolina

  • Charlotte
  • Fayetteville
  • Durham
  • Wilson
  • Greensboro
  • South Raleigh (Garner)
  • Southport (Phone Consults)
  • Wilmington (Phone Consults)

North Raleigh

6616 Six Forks Rd Suite 203 Raleigh, NC 27615 North Carolina

Tel: (919) 847-9750

North Raleigh

Charlotte

7400 Carmel Executive Park Dr Suite 105 Charlotte, NC 28226 North Carolina

Tel: (704) 318-2702

Charlotte

Fayetteville

2711 Breezewood Ave. Fayetteville, NC 28303 North Carolina

Tel: (910) 323-2972

Fayetteville

Durham

1738 Hillandale Road Suite D Durham, NC 27705 North Carolina

Tel: (919) 286-1695

Durham

Wilson

2215 Nash St. NW Wilson, NC 27896 North Carolina

Tel: (252) 234-9194

Wilson

Greensboro

600 Green Valley Road Suite 210 Greensboro, NC 27408 North Carolina

Tel: (336) 542-5993

Greensboro

South Raleigh (Garner)

143 Highway 70 Garner, NC 27529 North Carolina

Tel: (919) 747-4400

South Raleigh (Garner)

Southport (Phone Consults)

4320 Southport Supply Road SE Suite 300 Southport, NC 28461 North Carolina

Tel: (910) 218-8682

Southport (Phone Consults)

Wilmington (Phone Consults)

4320 Southport Supply Road SE Suite 300 Southport, NC 28461 North Carolina

Tel: (910) 447-2987

Wilmington (Phone Consults)