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Home
Seeking Assistance
Intake Form
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Ms. Karen Bell Clark

704-816-5306

Address:

Premier Healthcare Solutions, Inc.
13034 Ballantyne Corporate Pl
Charlotte, NC
28277-1498

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OUT-OF-STATE

“Speak Up For Those Who Cannot Speak For Themselves; Ensure Justice For Those Who Are Perishing.” Proverbs 31:8

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Before you begin the Intake Form, please ensure you have all relevant documents saved in either PDF or JPG format, ready for upload. This is essential for a thorough and efficient review of your case. The Intake Form is the exclusive means for us to rapidly understand and assess your needs. We aim to contact you promptly to discuss the next steps after your submission. However, be aware that submitting the form does not ensure legal representation; meeting eligibility criteria is required.

Should you encounter technical difficulties with the Intake Form, we offer specific support for these issues. Please contact St. Michael’s Legal Center by calling 813-289-5385 for assistance with the form. This support line is dedicated to addressing technical challenges with the form, with the goal of providing help within 72 hours. Please refrain from sending emails for assistance requests, as emails will not be responded to, ensuring our process remains streamlined and focused on submissions through our Intake Form.

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