USCL Counseling Services
We would like for you to complete Pre-Appointment Forms before
your actual appointment. This provides us with some background
information about you that will allow us more time during our
initial session to get to know you and how to best provide you
There are two options for accomplishing
- You can pick them up
from the University of South Carolina Lancaster Counseling Services
(Starr 125) in advance of your appointment during normal working
hours and fill them out at your leisure; or
- You can print and
complete the necessary forms at home and bring them to your appointment.
The Pre-Appointment Forms include the following:
- The Intake Form that collects
demographic, identifying information, information on past history,
and your current situation.
- The Informed Consent Form for
services which provides information about our counseling service.
Please print out and sign a second copy for you
- The Authorization to Use or Disclose Health Information.
- The Notice of Privacy Practices (NPP).
We are required by law (HIPAA) to give you this document and
ask you to acknowledge receipt of the NPP. ***Attached
to the NPP is the Acknowledgment of Receipt of
Notice of Privacy Practices (NPP, page 5). Please
sign this form to verify that you have received this document. You
are not required to read (or print) the NPP prior to your appointment.