Your Intake Team
My name is Jaleisha "Ms. Lisa".
We look forward to welcoming you and your family. I manage the authorization and intake processes throughout your journey with us. How can I help?
910-286-4784
My name is Monse.
Thank you for choosing us and I look forward to serving you. I speak Spanish. Please let me know how I can help. Estamos a disposicion de su familia!
910-286-3543
My name is Daniela.
We appreciate you and your family. I also speak Spanish and want to help however I can. I work in intake and administration. Usted Importa!
910-261-3356
Intake Form
Please click on the button below and use the password we provided to get started.
You can translate the questions into over 20 languages by clicking the button in the top right corner.
You can also call us and we will walk you through the form or come into one of our clinics to fill it out in person.
You can translate the questions into over 20 languages by clicking the button in the top right corner.
You can also call us and we will walk you through the form or come into one of our clinics to fill it out in person.
