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Primary Location

26 Wesmark Ct.

Sumter, SC 29150 US

(803)8834981

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Forms

English Version:

Adult Intake

Child Intake

Client Handbook

Client Handbook Acknowledgment

Client Rights

Disclosure Agreement

Freedom of Choice Policy

Frequently Asked Questions

Informed Consent

Letter Writing Policy

Non-Discriminatory Agreement

Referral Form

Release of Information

SNAP

Safety Plan

Telehealth Informed Consent

Telehealth Video Acknowledgement

Vanderbilt Assessment Scale PARENT

Vanderbilt Assessment Scale TEACHER 

Weiss Symptom Record II

Spanish Version:

Adult Intake/Admision de Adultos

Child Intake/Admision de Jovenes

Client Handbook/Manual del Cliente

Client Rights/Derechos del Cliente

C-SSRS-Clinical-Practice-Screener-Spanish

Disclosure Agreement/Autorizacion de Divulgacion

Escala Vanderbilt-Padres

Escala Vanderbilt-Profesores

Handbook Acknowledgement/Acuerdo del Manual de Clientes

Informed Consent/Formulario de Consentimiento Informado

Non Discrimination Agreement/Acuerdo No Discriminatorio

Referral Form/Formulario de Referencia

Release of Information-Autorizacion Medica

Safety Plan/Plan de Seguridad

SNAP

Tele acknowledgement Agreement/Acuerdo de Telehealth de Clientes

Tele-Informed Consent, Consentimiento Informado de Telecomunicacion

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