Client Intake Forms

All patients are required to complete the client intake forms.
To make your appointment easier, we have three options available to you:

  1. Electronically complete your registration paperwork using our Client Portal. You may need to ask our reception staff for your login credentials. The client portal can be found at https://mycw184.ecwcloud.com/portal23914/jsp/login.jsp.
  2. Download and complete the Patient Intake Form and the Patient Signature Consent Form and bring them with you to your appointment. The download links can be found below.
  3. Arrive 30 minutes early for your appointment to allow time to complete all the registration paperwork in our office.

Patient Intake Form

Patient Signature Consent Form

Make an Appointment Today

If you’re ready to take control of your life, Palmetto Counseling is here to help. Call us today to schedule your initial consultation with one of our mental health counselors. We strive to make your experience as comfortable as possible. That’s why we suggest you take the time to fill out all of the required intake forms ahead of time. That way, you’ll have more time to spend with your counselor and get started taking the right steps forward, sooner.