Southern MED
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  • New Clients
  • (803) 520-8295
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Call: (803) 520-8295

Forms

Below you will find the forms needed for your first session with a therapist. New clients will also review and sign these forms with their intake paperwork.

  • client referral form columbia (DOCX - 214 kb)
  • client referral form summerville (PDF - 633 kb)
  • consent to treat counseling (PDF - 62 kb)
  • notice of privacy practices (PDF - 764 kb)
  • policies and procedures (PDF - 189 kb)
  • records request form (PDF - 203 kb)
  • release of information (PDF - 162 kb)

Call Us

  • (803) 520-8295
Like us
on facebook

How we care

  • New Clients
  • Our Philosophy
  • Client Stories
  • Frequently Asked Questions

Current Clients

  • Billing & Insurance
  • Forms

Locations

  • Lexington - Main Street
  • Lexington - South Lake
  • Summerville

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