A Center for Marriage and Family Counseling
     Midtown Office Park  2018 Fort Bragg Road Suite 114A  Fayetteville NC 28303
Call
1 (910) 485-0940
Phone Lines Open 24/7
Patient Forms for New and Existing Clients
If you are a new patient to A Center for Marriage and Family Counseling there are several documents that need to be filled out before our first meeting.  Please download, sign and date the below documents for the clinician that you are seeing.  E-mail, fax or mail your signed documents, as well as a copy of your insurance card (front and back) to:

E-mail: drichards58@twc.com
Fax: Attn David Richards 336-875-8816
Mail: James M. Barry MSW, LCSW or Laura M. Barry MSW, LCSW
         P.O Box 9728
         Fayetteville, NC 28311

When filling out the forms the ID number on your insurance card is used (typically located on the front of the card.

Tri Care Instructions:
Client Name is the spouse or dependent (unless retired).  The Sponsor is the active duty or retired service member.  The Sponsor ID number is the Service member's SSN not the DOD number.

For any questions, please contact: (910) 485-0940







New Patients
Teletherapy
For Teletherapy, we are using Doxy.me, which is a HIPPA compliant, telemedicine platform that allows us to do remote sessions.  There is no need to download an app, you can simply access our sessions through your internet browser on your computer, iPad or iPhone.  A link will be sent to you via e-mail prior to our scheduled appointment.  The link will will prompt you to enter your name and then you will gain access to the waiting room.  When your clinician is ready, you will be let into your session.

For all existing clients:
Please download, sign and date the Consent for Teletherapy form for the clinician you are seeing.  E-mail, fax, or mail your signed document to:

E-mail: drichards58@twc.com
Fax: Attn David Richards 336-875-8816
Mail: James M. Barry MSW, LCSW or Laura M. Barry MSW, LCSW
         P.O Box 9728
         Fayetteville, NC 28311