Grief Counseling - Relationship Problems - Child Psychologist

Helpful Forms

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

Client Insurance and Questionaire
Privacy Notice Consent

Privacy Notices and Consent Information:

South Carolina Privacy Notice
Consent For Treatment

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We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.

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Preferred Date and Time:

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By clicking send you agree that the phone number you provided may be used to contact you (including autodialed or pre-recorded calls). Consent is not a condition of purchase.

Daphne Timmons, PhD Licensed Psychologist North and South Carolina

Helpful Forms

Daphne Timmons, PhD

Licensed Psychologist

North and South Carolina