Barbara Melton, LPC
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Forms

Please download the forms you need and bring them to your appointment.

 

Please download the forms you need and bring them to your appointment.

Practice Forms

Professional Disclosure Statement

Information Form

Consent to Treat

Agreement to Pay

Confidentiality Overview

HIPAA Notice of Privacy Practices

 

 

Contact Barbara today to learn how she can be helpful to you!

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Professional Affiliations

  • SCCMHCA Member
  • APSC Ethics Committee Member
  • NBCC
  • AMHCA

Contact Me

Barbara Melton, LPC
122 Alicia Dr.
Summerville, SC 29483

(843) 821-3701
bmelton@homesc.com

 

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