Register

Registration is only required if you do not have a username. Please check your spam & junk mail folders to ensure you have not already received an email with a username and password. If you already have a username log in here

Each account must have a unique email address associated with it. Please contact us if you need multiple accounts with the same email address (i.e. related family members).

Client Information

/ Middle Initial

( optional )
 

( MM-DD-YYYY )







( for Text Message Reminders )

Bill To Contact

/ Middle Initial







Log in Details

( If client is a minor, the legal guardian must enter their email address below. )



Between 8 and 40 letters and numbers

Challenge Questions

( These will be used to retrieve your password. Answers must be between 4 and 30 characters, cannot contain any spaces. )




( If you feel you must write down your questions in order to remember them, make sure to keep it in a safe place. )

Terms and Policy

Client Disclosure Statement
Welcome to Carolina Counseling Partners. I am pleased that you have chosen me for your counselor. This document is designed to ensure that you understand our professional relationship, and document your understanding of and consent to treatment.


Counseling Services Offered:
You can get the most out of our time together if you understand how counseling works and something about how I practice. This is an introduction only, and you may feel free to ask me questions at any time during our work together.

Counseling includes both the development of a trusting relationship between us and the development of goals for your situation and plans to accomplish them. Thus, counseling will include your active involvement and efforts to understand and change your thoughts, feelings, and behaviors. You will have to work both in and out of the counseling sessions. Some steps may include homework assignments, exercises, writing in a journal, or observing yourself and practicing new behaviors.

With respect to my theoretical basis for counseling, I am committed to an approach that includes an integration of my Christian faith with compatible psychological perspectives. I am a Christian and believe that we are whole persons, with physical, psychological, social and spiritual aspects. Whether we include discussion of the spiritual dimension of life in our time together will be up to you, but I want you to understand that this informs who I am and how I understand others and the nature of and solutions for problems in living. This spiritual perspective is integrated with the perspectives of family systems, psychodynamic and cognitive-behavioral therapy's understandings of how people work. These are well established and researched methods of therapy that are widely respected as being effective.

I will enter our relationship with hope and expectation for positive change. It is important, however, that you understand that there are possible risks as well as benefits of counseling. Risks might include uncomfortable levels of feels of sadness, guilt, anxiety, anger or frustration, or unaccustomed directions that feel quite awkward at first. 

As we work together, we will specify the goals and methods we will use together, identify the risks and benefits of treatment, and make clear the approximate time commitment involved, costs, and other aspects of your particular situation. Periodically, we will evaluate our progress and, if necessary, change our goals, treatment and/or methods.

In a professional relationship, sexual intimacy between a therapist and client is never appropriate. Dual relationships are also inappropriate and therefore it must be understood that my primary role is that of counselor, and this prevents me from any kind of intentional social contact outside of the counseling office. This includes Facebook, Instagram, Twitter or any other form of social contact.

Confidentiality:

I regard the information you share with me with the greatest respect, so I want us to be as clear as possible about how it will be handled. All information that we share as well as my records of our conversations is confidential. If you wish for your records to be shared with someone else you must sign a Release of Information form, which can be found on this website under FORMS. There are circumstances in which I cannot guarantee confidentiality, either legally or ethically:

1. If abuse is suspected, the law requires I report it to the appropriate authorities.
2. If the therapist believes that the client is in a clear and imminent danger to self or others, the other people will be contacted to prevent harm.
3. In rare circumstances, therapists can be ordered by a Judge to release information.

Otherwise, I will not tell anyone anything about your treatment, diagnosis, history, or even that you are a client, without your full knowledge and a signed Release of Information Form.

Sessions:

I assure you that my services will be provided in a professional manner and will be consistent with accepted ethical standards. Sessions are 50 minutes long. We will decide together on the frequency and appointment times of sessions. You are financially responsible for your regular appointment hour, and I reserve this time for you. If you miss an appointment without providing  24 hours notice, you will be charged the full fee for a regular session.

Fees, Billing, and Insurance Reimbursement:

My current fee is $135 per session. I do not contract with insurance companies directly, but you may file for reimbursement if you have out-of-network benefits. Fees for counseling services are due in full at the end of each session. Cash, Personal Checks, or Credit Cards are accepted for payment. Invoices for all fees paid are available on this website under Billing. If you choose to file for reimbursement from your insurance company, they may require information regarding diagnosis, symptoms, and methods. Any diagnosis provided to your insurance company becomes a part of your permanent medical records.

Complaint Procedure:

If you are dissatisfied with any aspect of our work, this is most effectively and productively dealt with in our sessions together. Please feel free to ask any questions or clarify any confusion you may have about our work. If you think that you have been treated unfairly or unethically by me or any other counselor, and cannot resolve this problem with me, you may contact the South Carolina Department of Labor, Licensing, and Regulation at Synergy Business Park; Kingstree Building, 110 Centerview Dr., Columbia, S.C. 29210, (803) 896-4300, for clarification of clients' rights as I have explained them or even to lodge a complaint.

Please read carefully and complete the following section:

- I have read these policies and understand and accept them as described.
- I hereby give my permission and consent to Melody Burroughs Reid, LPC to provide psychotherapeutic treatment.
- I understand that I am responsible financially for services rendered and that payment is due in full for each session.
- I understand that I will be charged for appointments not canceled with 24 hours notice.
- I will pay $135 per session, as agreed upon with the therapist.

( Type Full Name )
Family or Couple Therapy
This written policy is intended to inform you, the participants in family therapy or couple therapy, that when I agree to work with a couple or a family, I consider the couple or family (the treatment unit) to be the patient. For instance, if there is a request for the treatment records of the couple or the family, I will seek the authorization of all the members of the treatment unit before I release confidential information to third parties. Also, if my records are subpoenaed, I will assert the psychotherapist-patient privilege on behalf of the patient (the treatment unit).

During the course of my work with a couple or a family, I may see a smaller part of the treatment unit (e.g. an individual or two siblings) for one or more sessions. These sessions should be seen by you as a part of the work that I am doing with the family or the couple, unless otherwise indicated. If you are involved in one or more of such sessions with me, please understand that generally these sessions are confidential in the sense that I will not release any confidential information to a third party unless I am required by law to do so or unless I have your written authorization. In fact, since these sessions can and should be considered a part of the family or couple therapy, I would also seek the authorization of the other individuals in the treatment unit before releasing confidential information to a third party.

However, I may need to share information learned in an individual session (or a session with only a portion of the treatment unit being present) with the entire treatment unit- that is, the family or the couple, if I am to effectively serve the unit being treated. I will use my best judgment as to whether, when, and to what extent I will make disclosures to the treatment unit, and will also, if appropriate, first give the individual or the smaller part of the treatment unit being seen the opportunity to make the disclosure. Thus, if you feel it necessary to talk about matters that you absolutely want to be shared with no one, you may want to consult with an individual therapist who can treat you individually.

This "no secrets" policy is intended to allow me to continue to treat the patient (the couple or family unit) by preventing, to the extent possible, a conflict of interest to arise where an individual's interests may not be consistent with the interests of the unit being treated. For instance, information learned in the course of an individual session may be relevant or even essential to the proper treatment of the couple or the family. If I am not free to exercise my clinical judgment regarding the need to bring this information to the family or the couple during their therapy, I might be placed in a situation where I will have to terminate treatment of the couple or family. This policy is intended to prevent the need for such a termination.

We, the members of the _________________________________ (couple/family or other unit) being seen, acknowledge by our individual signatures below, that each of us has read this policy, that we understand it, that we have had an opportunity to discuss its contents with Melody Burroughs Reid, LPC, and that we enter couple/family therapy in agreement with this policy.
( Type Full Name )
State Mandatory Disclosure Information
The South Carolina Department of Labor, Licensing and Regulation-Board of Examiners for the License of Professional Counselors (1976 Code Section-75-5 et seq) requires that I provide you with the following information.

I am licensed as a professional counselor (LPC) in the state of South Carolina and am a partner at Carolina Counseling Partners LLC. The South Carolina Board of Examiners for the Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists regulate my services. My license number is 5397.

Any questions, concerns or complaints regarding the practice of psychotherapy or other mental health professions may be directed to:

SC Board of Examiners
PO Box 11329
Columbia, SC 29211-1289
803-896-4658
( Type Full Name )
Office Policies
1. Appointments:  I will endeavor to be ready for our session promptly at our scheduled time and to end our session on time. If for some reason I have to cancel your appointment, I will either call you or text you. 


2. Length/Fee of Sessions: Individual counseling sessions last for 50 minutes. My current fee is 135.00/session. Longer appointments may be scheduled if desired. I do not take insurance, however, you can print a Superbill from this website with diagnostic codes for submission to your insurance carrier should you choose to do so. It is your responsibility to obtain payment from your insurance company. I accept cash, personal checks, as well as credit cards through my client-secure financial portal on this website.

3. Cancellations: Since your appointment is reserved for you, please let me know as soon as possible if you will not be able to keep your scheduled appointment. The website will only allow you to cancel outside of 24 hours. Should you need to cancel on short notice, please call or text me at 864-430-6420 and let me know. The following charges will be made for late cancellations or no-show appointments:
Over 24 hours notice- No charge
Less than 24 hours notice-  Full fee is charged for all missed or late canceled appointments.
Occasionally I will have to cancel and reschedule your appointment and I promise to notify you as soon as I know about such a change.

4. Telephone/Video Communication: Please use telephone contact for emergencies or appointment scheduling only. Telephone consultations lasting more than five minutes will be charged at the customary rate, proportionate to the time used. If there is an issue that needs to be discussed, please make an appointment. I am unable to do counseling work outside of a scheduled appointment. If desired or needed, telephone or video counseling sessions may be scheduled through this website with standard time and fees applied.

6. HIPAA Compliance Communication Procedures:
***Email is sometimes helpful to share information, if you elect to do this, please do so through the CounSol interface as this is a
HIPPA secure portal. I do my best to respond to emails within 48 hours.

***Texting can also be helpful to share information.  You may text me at 864-430-6420 and this is a HIPAA compliant and secure number.

7. Additional fees: If needed, time spent supplying a client's requested paperwork for 3rd parties will be charged a flat fee of $50.00/hour, proportionate to the time required.

8. Please note: As an LPC, I am not a forensic psychologist and it would be outside of my area of competence to make recommendations in legal proceedings about custody matters. This role belongs to guardian ad litem and/or forensic psychologist.

( Type Full Name )