New Client Referrals

Please complete the form below 

Salem Counseling Center requires a completed Release of Information (ROI) from any referred new client in order to communicate with the referring clinician on the client's behalf. If you wish for SCC staff to be able to discuss client care with you, please submit a completed ROI form at the link below.

203 South Stratford Road, Suite A
Winston-Salem, NC 27103

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