Jill Smith and Associates

Counseling, Coaching, and Change

  • Therapy
    • Individual Psychotherapy
    • Couples Counseling
    • Children & Adolescents
    • Family Therapy
    • Common Questions (FAQs)
    • Fees
    • Contact
  • Coaching
    • Coaching at JSA
    • Coaching Forms
  • Our Team
    • Jill Smith
    • Terri Hallman
    • Brooke Davis
    • Lauren Williams
    • Ashley Daly
    • Penny Toman
    • Erin L. Tolbert
    • Kaitlyn Piper LMSW
    • Jessica Carr – Office Manager
    • Cindy Royce – Billing Manager
    • Donovan McMasters – Receptionist (Columbia)
  • Blog
    • Therapy
    • Coaching
  • New Client Registration
  • Testimonials

Coaching Forms

Please download and complete the coaching forms below:

Consent to Treat, Coaching Form

Coaching Agreement, Coaching Form

Readiness Questionnaire, Coaching Form

Waiver, Release and Assumption of Risk, Coaching Form

Lifestyle Questionnaire, Coaching Form

Physician Referral, Coaching Form

Two Locations

Downtown Columbia
1231 Elmwood Ave Columbia, SC
803-315-1129
Lexington
130 Gibson Rd Lexington, SC
803-814-5559

Fax

Fax: 800-878-7600

FREE 10 Min Q&A

Get a free 10 min, health coaching Q&A session with Penny Toman.

Get Started

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[email protected]
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