Client Forms

Client Forms

Please remember to bring your insurance card(s), any required insurance or EAP referral forms, all applicable co-pays, and at least (x1) form of valid picture identification / drivers license with you.

Important Note: To save time during your first appointment and allow you more time with your therapist, please download, print and complete all required forms and bring them to your initial appointment.   

Download and Print Hardcopy Versions of PCC Intake Forms by clicking on links below.

Please have all forms completed for your appointment or plan to arrive at least 30 minutes early to complete them in the office. 

Contact Us

Palmetto Counseling & Consulting Services, LLC

  • 1721 Ebenezer Road
  • Suite #225
  • Rock Hill, SC 29732
  • phone (803) 329-9639