Forms

Prior to your first counseling appointment, please print the following forms, complete them, and bring them with you.


Client Information Form

Client Intake Form

Privacy Practices


These forms are related to the educational evaluation process.  Please download these forms if you have an evaluation scheduled and bring them to your Intake appointment.


Client Information Form

Privacy Practices

Fees

Halsey Counseling and Educational Center does not file claims with insurance companies. Fees for services are due at the time of the appointment.


Clients will be provided service bills and may submit claims to their insurance company.


Halsey Counseling and Educational Center accepts all major credit cards.

 Copyright Halsey Counseling and Educational Center | 1326 Haywood Road, Suite 101, Greenville, SC 29615
office: 864.527.5910 | fax: 864.527.5912 | website: www.halseycounseling.com | Find us on Facebook​

“Our higher needs include making full use of our gifts, finding and 
fulfilling our calling, being loved and cherished just for ourselves,
and being in relationships that honor all of these. Such needs are
fulfilled ​in an atmosphere ​of the five A’s by which love is shown:
attention, acceptance, appreciation, affection, and allowing.”
​ ― David Richo 

Halsey Counseling and Educational Center