info@palmettofamilyworks.com | 864-538-6906
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Make an Appointment: info@palmettofamilyworks.com | 864-538-6906
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    • Counseling for Trauma
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    • Grief & Bereavement Counseling
    • Individual Therapy
    • LGBTQIA+ Individual Therapy
    • Life Transitions
    • Mindfulness-Based Therapy
    • Obsessive Compulsive Disorder (OCD) Counseling
    • Play Therapy
    • PTSD
    • Social Anxiety Disorder Counseling
    • Therapy for Depression
    • Women’s Issues
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    • FAQs
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    • Client Forms
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    • Florence Location
    • Simpsonville Location
  • New Client Referrals
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864-538-6906 | info@palmettofamilyworks.com

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Close menu
  • Home
  • Team Members
  • Clinicians Contracted with Palmetto Family Works LLC
  • Services
    • Counseling for Anxiety
    • ADD/ADHD Counseling
    • Anger Management
    • Autism
    • Cognitive Behavioral Therapy
    • Counseling for New Mothers
    • Counseling for Trauma
    • Family Counseling
    • Grief & Bereavement Counseling
    • Individual Therapy
    • LGBTQIA+ Individual Therapy
    • Life Transitions
    • Mindfulness-Based Therapy
    • Obsessive Compulsive Disorder (OCD) Counseling
    • Play Therapy
    • PTSD
    • Social Anxiety Disorder Counseling
    • Therapy for Depression
    • Women’s Issues
  • Getting Started
    • FAQs
    • Rates and Insurance
    • Client Forms
    • Appointment Request
  • Resources
    • Upcoming Training
    • Mental Health Links
    • Careers
    • Physical Health Links
  • Contact
    • Florence Location
    • Simpsonville Location
  • New Client Referrals
864-538-6906

info@palmettofamilyworks.com

Don't Wait to Get the Help You Need

Client Forms

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

  • Consent Signature Page
  • Consent Disclosure (keep for your records)
  • Parent Agreement (for minors only)
  • HIPAA notice. (keep for your records)
  • Developmental History (for minors only)

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

  • Release of Information Form

Physicians & Agencies:

 Click here for a Referral Form that will be sent automatically to our administrative staff.

To check on status of referral, please send email to info@palmettofamilyworks.com
or call 864-538-6906

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

Contact Today

864-538-6906
info@palmettofamilyworks.com

About Us

My practice specializes in treating individuals, couples and families, and through years of experience, I’m confident that no problem is too great to overcome.

Office Hours

Office Hours are Available by Request

864-538-6906
info@palmettofamilyworks.com

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Location Information

2135 Hoffmeyer Rd
STE B, SC 29501

887 NE Main St, STE C
Simpsonville, SC 29681

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