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 Coastal Samaritan
 Counseling Center
 901 N. Kings Hwy
 Myrtle Beach, SC 29577
 (843) 448-4820
 Hours 9 - 7 Mon - Thurs
            9 - 1 Fri

Documents

CSCC New Release Form (pdf)

CSCC Financial Policy and Fee Agreement (pdf)

Statement of Charges for Services (pdf)

Insurance Information Form (pdf)

Client Intake Information Form (pdf)

Therapy Information and Disclosure Form (pdf)

Center Privacy Policy Document (pdf)

Kathy Heustess Professional Disclosure Statement (pdf)

Susan Bulsza Professional Disclosure Statement (pdf)

Jan Filipow Professional Disclosure Statement (pdf)

Lee Gravely Professional Disclosure Statement (pdf)