Professional Disclosure Statement
Name:
Fee Schedule:
Education/Training:
Areas of practice/specialization:
Rights and Procedures to File a Complaint
If you feel you are at any time treated in an unethical manner by therapist's
name as a client at agency/practice name, it is your right to file
a complaint with the Board of Social Work Examiners and/or the Director of the
Department of Labor, Licensing, and Regulation. You may file a complaint by sending
a letter directly to the Board or call the Board for a form to fill out and return.
The following is the contact information you will need:
South Carolina Board of Social Work Examiners
P.O. Box 11329
Columbia, S.C. 29211-1329
(803) 895-4665
(803) 896-4687 (fax)
www.llr.state.sc.us
Email: glennp@mail.llr.state.us
