843-945-1452

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Advanced Practice Mental Health and Wellness of Jamison Consultants, LLC

630 Chestnut Rd.
Myrtle Beach, SC. 29572
Office: 843-945-1452
Fax: 843-945-1489

New Patient Paperwork

In order to see one of our professionals, we must conduct an intake appt. first. We can do this one of two ways:

1) If you have medicaid, we can come to your house and help you fill out this paperwork at your convenience.

2)You can fill out this paperwork and return it to our office either by dropping it off, mailing it or emailing a electronic version (see below) and we will call you for an appt.

DOWNLOADING THE FORMS

Options For Completing Forms

1) Download/print/complete the form and either drop it off or mail it to:
Advanced Practice Mental Health and
Wellness of Jamison Consultants, LLC
630 Chestnut Rd.
Myrtle Beach, SC. 29572

2) Download and fill form out using a PDF editor such as Adobe Acrobat and email it to: [email protected]

 

Crisis Line (24/7): 843-494-1520