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Forms

Palmetto Health Counseling

Once you have scheduled an appointment with us, you may download forms to complete at home and bring with you to your first appointment. The forms that are needed at the first appointment are:

  1. A separateIntake Form for each person attending the session (Youth Intakes are for clients under 18),
  2. A signed Fee Agreement Form indicating your preferred method of payment,
  3. A signed Informed Consent Signature Form (You will need to read the What You Should Know About Counseling Form and the What You Should Know About Your Counselor Form).
  4. A signed Acknowledgement of Notice of Privacy Practices Form. Don't forget to download and read the accompanying Notice of Privacy Practices Form.

If you are planning to use your insurance, the Insurance Information Form will be needed.

Adult Intake Form

Fee Agreement Form

Informed Consent Signature Form

Insurance Information Form

Notice of Privacy Practices Form

Acknowledgement of Notice of Privacy Practices Form

Professional Disclosure Forms by Counselor Name

What You Should Know About Louise Duval

What You Should Know About Danny Garnett

What You Should Know About Angie Hall

What You Should Know About Jan McMeekin

What You Should Know About Debra Moore

What You Should Know About Jewel Oddo

What You Should Know About Mark Stoll

Things You Should Know About Counseling Form

Youth Intake Form