PIEDMONT MUSIC THERAPY CLINIC & STUDIO
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Forms


Music Therapy CLIENT INTAKE FORMS

INTAKE: MINOR
INTAKE: ADULT SELF
Intake: Adult-Guardian/POA

PMT Music Therapy Consent Forms

2023 Client Consent Forms & Acknowledgements

Remote Participation Survey

2023 Remote Participation

Private Practice POLICIES

PMT Notice of Confidentiality
File Size: 96 kb
File Type: pdf
Download File

PMT Treatment Policies
File Size: 111 kb
File Type: pdf
Download File

PMT Financial Reponsibilities Policies
File Size: 94 kb
File Type: pdf
Download File


Studio: Music Lesson Enrollment & Policies

New Student Questionnaire - enrollment
Studio Policies
File Size: 106 kb
File Type: pdf
Download File


Summer Camps

Summer Camp Registration Packet
Permission To Leave-Summer Camp
File Size: 87 kb
File Type: pdf
Download File

Main Location

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READY TO DISCUSS INTAKE PROCESS?
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Call 803-206-2044.

What Our Clients Are Saying

"We appreciate all you do for our participants and look forward to working with you in 2022! You are awesome!
~Susan Bill, Exec. Director of Minds Matter

​"Thank you so much for the work you do year round! You spread so much joy throughout our facility!"
~ Staff Member 

"Melissa's visits are the highlights of my mother's week: her enthusiasm is infectious and she manages to get my mother singing, and more importantly, smiling."
~Daughter of an Adult Client receiving music therapy


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  • About
  • Music Therapy FAQ
  • Forms
  • SUMMER CAMPS
  • Lessons & Performance
  • Partners
  • Staff
  • Contracts
  • Contact
  • Continuing Ed
  • MT Coaching
  • ASC Info
  • Blog
  • Internship
  • Newsletters
  • Research Study