Application: Counseling and Testing Services
Instructions: The referring person completes Part 1; the Director of Counseling Services completes Part 2; the assigned counselor completes Part 3, maintains a case file, and completes part 4 as indicated.
THIS COMPLETED FORM WILL BE SENT TO:
Ms. Millercin Fields Weeks, Director
1600 Harden Street
Columbia, South Carolina 29204
Security Code: tigers