Client Forms

If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.

Client Contact Information Sheet

Consent for Treatment and Limits of Liability

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information

Contact



Near Murray Hill & Cliffdale
1 mile from All American Fwy & Cliffdale
Fayetteville, NC 28303

doris@sage-heart.com
910.491.4277

Request Appointment


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