Call: 864-232-2212

Helpful Forms

The forms below are in PDF format. If you do not already have a PDF reader, you can go here and download one for free. You will need to download the files to read them, once downloaded, you may print them off.

Forms for Dr. Martha Durham

pdficon   Release of Informationclick here to download

 

New Client Forms

pdficon   Client Informationclick here to download

pdficon   Child Intake Form click here to download

pdficon   Adult Intake Form click here to download

pdficon   HIPPA Privacy Policy (Read Only)click here to download

pdficon   HIPPA Acknowledgement and Consent Formclick here to download

Our Location:

617 North Main Street
Greenville, SC 29601
Office: (864)232-2212
Fax: (864)232-2219

Office:

Lobby