Forms

Forms

Important Note: Before arriving for your first office visit and to help expedite new client registration process, please download, print, and bring the following completed forms with you to your first appointment:

In addition, remember to bring your insurance card(s), any required insurance or EAP referral forms, all applicable co-pays, and at least (x1) form of valid picture identification / drivers license with you.

Contact Us

Palmetto Counseling & Consulting Services, LLC

  • 1721 Ebenezer Road
  • Suite #225
  • Rock Hill, SC 29732
  • phone (803) 329-9639