Would you like to switch to the accessible version of this site?

Go to accessible site Close modal window

Don't need the accessible version of this site?

Hide the accessibility button Close modal window
Accessibility View Close toolbar
logo

Primary Location

26 Wesmark Ct.

Sumter, SC 29150 US

(803)8834981

MENU
  • Home
  • About
  • Providers
  • Staff
  • Careers
  • Groups
  • Forms
  • Contact

Forms

English Version:

Adult Intake

Child Intake

Informed Consent Form

Non Discriminatory Policy

Referral Form

Release Form

Safety Protocol For Covid

Vanderbilt Assessment Scale Parents

Vanderbilt Assessment Scale Teachers

Weiss Symptom Record II

Telehealth Informed Consent

Frequently Asked Questions

Sliding Fee Scale Policy

Sliding Fee Scale Application

Sliding Fee Table

Spanish Version:

Autorizacion Informacion Medica

Escala Tarifa Movil

Escala Vanderbilt-Padres

Escala Vanderbilt-Profesores

Formulario Consentimiento Informado

Paquete Entrada-Adultos

Paquete Entrada-Jovenes

Politica de No Discriminacion

Solicitud Tarifa Movil

Tabla de Tarifa Movil

Contact Us

logo

Address

  • Copyright © 2022 MH Sub I, LLC dba TherapySites.
  • Admin Log In
  • Site Map