New Clients

Please download, print and fill out all 5 forms on the right prior to our first appointment.

You may bring them with you or fax them to my office at
(843) 793-3164.  Please call (843) 641-0368 if you have any questions.

Please verify your health insurance before your first visit.

Accepted insurance plans include: Blue Choice, Blue Cross/Blue Shield of South Carolina, Ceridian, Cigna, Medicare, TRICARE and United Behavioral Health

** All new clients: Please download the forms and call for an appointment. Online appointment scheduling is for returning clients only. Thank you.

Intake Forms

1.  Intake


2.  Consent for Treatment Signature


3.  SC Privacy Notice


4.  Privacy Notice Consent


5.  Demographics

Payment Policy:

• Private pay: Initial fee $175.00, then $125.00/session
• Insurance: From $15.00 - $85.00/session, depending on copayments or if you have a deductible
• Credit cards: MasterCard, Visa and Discover