New Clients

Once you have called the center and made your appointment please print each of the following forms and have them completed when you arrive on the day of your appointment.  If the forms are not completed please arrive 30 minutes before your appointment to complete them.

1. Personal Information Form

2. Financial Form Updated 2018

3. Counseling and Fee Policy

4. Notice of Privacy Practices Acknowledgement Form

5. Notice of SCC Privacy Policies

6. Consent for Physician Consultation

7. Statement of Practices

8. Counselors Acknowledgement Form

If Client is under the age of 18 a child intake form below will need to be filled out.

Counselors Declaration of Practices and Procedures

Nonie Caruthers- DECLARATION OF P & P – NC

Wavely Cunningham- DECLARATION OF P & P – WC

Mary Young- DECLARATION OF P& P – MY

Ann Inabnet- Declaration of P&P – AI

Valencia Edwards- Declaration of P&P VE

2. Financial Form Updated 20183. Counseling and Fee Policy7. Statement of Practices