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Please print and complete the first five (5) forms below prior to the initial visit. We will need a copy of your picture ID and health insurance card, if you are using insurance during the check-in process. 


The forms below are for our Master-Level counselors. Should you need forms for our Doctoral-Level counselors, we can email them to you. It is asked that all new clients arrive 15 minutes early to complete paperwork. Thank you in advance for your cooperation!

 

Authorization to Release

Client Registration  

Office Policy

HIPAA Agreement

Informed Consent

Referral Form 

Request for Medical Records


 * Nota * Los formularios también están disponibles en español, bajo petición. 

Thank you for your interest in our office! Feel free to contact us via email for requests for general information. Or call us to arrange your first appointment! Our contact information is located  at the bottom of the page.

 

Please list your name, phone number, and the best time to contact you. Let us know if you have health insurance and/or Employee Assistance Program (EAP) services with your job, or if you will pay out-of-pocket for services. If you use your health insurance, please call your insurance company before the first visit, and ask about your outpatient mental health benefits, co-payments, co-insurances, and/or deductibles. BCS is an in-network provider for the health insurances listed.

List of In-Network Insurance Plans

  • BlueCross BlueShield of SC
  • Aetna
  • Tricare
  • Great-West Healthcare
  • Cigna
  • Medical Mutual of Ohio
  • APS Healthcare
  • ValueOptions
  • Employer's Choice Network EAP
  • Palmetto EAP
  • First Sun EAP
  • EAP Consultants, Inc.

 

 

  • South Carolina Medicaid
    • Molina
    • Absolute Total Care (Cenpatico)
    • First Choice/Select Health
    • BlueChoice Medicaid
    • WellCare
    • Traditional Medicaid
  • Coventry Health Care/First Health
  • ComPysch EAP
  • Diakon Inroads EAP
  • MHN EAP
  • WellSpan EAP

 

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