Request a Call from Oceanic Counseling
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Full Name
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First Name
Last Name
Phone Number
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Email
example@example.com
Do you have insurance? If so, which one?
What type of services are you seeking?
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Therapy / Counseling
Psychiatric Medication (Coming Soon!)
Both therapy + medication
Not sure. would like guidance
Are you currently taking any psychiatric medications?
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Yes
No
Please list your psychiatric medications:
Preferred Service Type
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Virtual (Telehealth)
In-Office Therapy
Office Location
Myrtle Beach, Carolina Forest, Murrells Inlet
Columbia / Irmo, SC
Greenville, SC
North Charleston, SC
How did you hear about us?
How did you hear about us?
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Google Search
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Friend / Family Member
Doctor Referral
Billboard
Psychology Today
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Church / Organization
Insurance Company
Other
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