South Carolina Behavioral Telehealth Notice
I am registered with the South Carolina Board of Examiners for Licensure of Professional Counselors as an Out-of-State Behavioral Telehealth Provider. I am not licensed by the State of South Carolina and do not provide in-person services or maintain an office in South Carolina.
To verify my registration and obtain additional information, please visit the South Carolina Behavioral Telehealth Registry: https://llr.sc.gov/TeleHealth/Counselor.html
Client Forms
As an experienced provider, I know developing a thorough understanding of your history and protecting your privacy are of utmost importance. Please use these documents to help me learn about you.
If you are a new client, or a client who has been away for more than 6 months, please complete this form.
Release of Information for your coordination of care, protecting your privacy.