Client Forms

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We know your time is valuable to you!  To get the most time for your money please bring in the completed forms with your identification and insurance information.

If you have any questions or concerns while filling out these forms Nina is happy to assist you when you arrive for your session.


If you’re a new client, please complete the following forms and bring them to your first appoint

If you would like us to coordinate care with another provider (for example, your case manager, psychiatrist, primary care physician, etc.), complete this form to authorize the release of psychotherapy information:


If you’re a provider requesting services for your patient or client, please complete the following form and forward it to us by:

Email ( or Fax (803-851-3956).

Workshop Registration:

Note: To download Adobe Acrobat Reader for free, click here.

To Schedule an Appointment:

To schedule an individual, children, or family therapy appointment or to obtain additional information about any of these counseling services, please fill out this form or give me a call.