Primary Location

26 Wesmark Ct.

Sumter, SC 29150 US

(803)8834981

MENU

Forms

English Version:

Adult Intake

Child Intake

Informed Consent Form

Non Discriminatory Policy

Referral Form

Release Form

Vanderbilt Assessment Scale PARENT

Vanderbilt Assessment Scale TEACHER

Weiss Symptom Record II

Telehealth Informed Consent

Frequently Asked Questions

Sliding Fee Scale Policy

Sliding Fee Scale Application Form

Sliding Fee Table

Spanish Version:

Autorizacion Informacion Medica

Escala Tarifa Movil

Escala Vanderbilt-Padres

Escala Vanderbilt-Profesores

Formulario Consentimiento Informado

Paquete Entrada Adulto

Paquete Entrada Joven

Politica de No Discriminacion

Solicitud de Escala de Tarifa Movil

Tabla de Tarifa Movil

Contact Us