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South Carolina


Board of Examiners for Licensure of Professional Counselors, Marriage and
Family Therapists, and Psycho-Educational Specialists 

Provision of Services via Electronic, Distance Professional Services


Effective Date: November 17, 2015
In response to inquiries from licensees, supervisors and other interested parties, the SC
Licensure Board has confirmed that it has no separate view per se with regard to the provision
of services via electronic means as long as a licensee is practicing in a manner consistent with
his/her training and experience, is receiving supervision as is appropriate, and the medium for
doing so is not an issue. However, it is incumbent upon any licensed counselor, therapist or
psycho-educational specialist to recognize that as he or she moves away from direct face to
face contact with clients, there are losses to the processes and interactions.
The Board considers that the practice of counseling, marriage and family therapy occurs both
where the therapist who is providing therapeutic services is located and where the individuals
(patients/clients) who are receiving services are located. In order for an individual to provide
counseling and therapy services in South Carolina, that individual must be licensed by the South
Carolina Board for Counselors, Marriage and Family Therapists and Psycho-educational
Specialist. On this basis, if an individual licensed in South Carolina renders services
electronically to an out-of-state client, it is recommended that the licensee contact the
licensure board for counselors, marriage and family therapist or psycho-educational specialist
in the state in which the clients resides to determine whether or not such practices are
permitted in that jurisdiction. Licensees are advised to review the South Carolina Licensure Law
and the Code of Ethics.
Delivery of clinical services via technology assisted media such as telephones, use of video, or
the internet requires the therapist to be sensitive to various issues. These areas include:
confidentiality, acquiring required signatures on intake forms (consent to treat, release of
information, professional disclosure forms, consent to treat minors, consent to tape, etc.).
Other issues include: confidentiality, boundaries of competence, computer security, avoiding
harm dealing with fees and financial arrangements, and advertising. Other specific challenges
include, but are not limited to verifying the identity of the client, determining if the client is a
minor, explaining to the clients the procedures for contacting the therapist/counselor when he
or she is off-line, discussing the possibility of technology failure and alternate means of
communication if technology occurs. It is important for counselors and therapists to use
encrypted technology as required by HIPPA. Clients should be informed of the encryption
methods used to help ensure the security of communications. Also, counselors and therapists
should inform clients as to whether session data is being preserved and if so, for in what
manner and for how long. In addition, clients need to be informed regarding the procedures
that will be in place in receiving and releasing client information received through the internet
and other electronic sources.
Last of all, it is important that when providing services through electronic methods, the
counselor and therapist be knowledgeable regarding emergency services available in the
communities where their clients live.CHAPTER 36.

Code of Ethics for Professional Counselors: Chapter 36-19, Article 7, (B) Counseling Relationship, 12, 13, 14.

(12) Professional Counselors who employ electronic means in which the counselor and client are not in immediate proximity must present clients with local sources of care before establishing a continued short or long-term relationship. 

(13) Professional Counselors shall obtain legal authorization to practice in any jurisdiction in which they maintain an electronic presence via the internet or other
electronic means.

(14) Professional Counselors shall ensure that clients are intellectually, emotionally, and physically compatible with computer applications used by the counselor and understand
their purpose and operation.


  • Comment Link Telehealth Certification Institute Wednesday, 14 August 2019 18:14 posted by Telehealth Certification Institute

    I do not. However, clinicians should always follow the rules and regs of you license no matter the way communication takes place b/w the clinician and client.

  • Comment Link Judy Lassiter Thursday, 01 August 2019 01:08 posted by Judy Lassiter

    I am looking for training in telemental health training in Columbia, SC

  • Comment Link Telehealth Certification Institute Friday, 30 November 2018 17:26 posted by Telehealth Certification Institute

    My understanding is that licensed social workers can provide the services within their scope of practice via telehealth. However, we do not provide legal counsel.

  • Comment Link Tamara Houston Sunday, 25 November 2018 00:13 posted by Tamara Houston

    Do you have any information specific to Social Workers in SC providing Telemental Health services?

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Ray is down-to-earth, warm, pragmatic and exceptionally well-informed.
G. Reid Doster, LPC, LMFT
Director of Behavioral Health, EXCELth Inc.Primary Health Network & Private Practice Psychotherapist / www.excelth.com

An excellent course, but needs more legal information regarding where the patient needs to reside.

Barry Barmann
Clinical Psychologist / Behavior Therapy & Family Counseling Clinic
This legal course was phenomenal saturated with much detail and clarity!
Elaine Marie Barclay
Licensed Professional Counselor, Assistant Professor / Capella University and Shorter University
Great and very informative! Will help me take my skills to a new level. Gave me a great idea of how the session should go.
Jessica Latin
LPC / JL Counseling

Course provided several case scenarios regarding Interstate counseling and resource websites for further research.

Cowenda Jefferson
Clinical Director / Wise Life Choices LLC
Course provided additional information regarding the legal aspects of TeleMental Health.
Cowenda Jefferson
Clinical Director / Wise LIfe Choices LLC
I have completed prior training by Raymond and greatly appreciate his detailed and thorough trainings.
Dr Lynn Duffy, PsyD, LCPC, NCC, CCMHC, BCPCC, BC-TMH, Diplomate/CMH in Trauma
Director/Counselor/Mediator / Lighthouse Counseling & Consulting Services
This course was most helpful in helping me make my practice more compliant for me and my clients.
Marlene Small
Private Psychotherapist
This is the 4th TMH course I have taken with Ray and it is BY FAR the best TMH training out there. I've learned so much that I can use every day in my practice.
Dawn Ferrara

Very Informative

Naomie Pierre
community clinician / nps
I loved this course. It was very informative and provide a great deal of information about ethics.
Tracey Marshall
Easy to learn and easy to follow. User friendly on-line course.
Kelly Johnson
Licensed Mental Health Therapist


Melissa J Davis
LAPC- counselor
This was a phenomenal training and necessary for the continued growth of all helping professionals. This will certainly improve the manner in which I conduct counseling.
Elaine Marie Barclay
This training was extremely informative and supportive for professionals looking to gain further knowledge in Telemental health.
Marcy Abramsky
LCSW / Marcy Abramsky LCSW, InspireAmind TM Counseling and Consulting
I found this video to be very informative and helpful.
Michelle Parker
Contract Therapist

Great course, very informative!

Ashley Simmons
BCBA / Northstar Psychological Services

Love the course, worth every penny!!! Definitely helped jump start my Tele-mental health services!

Nakia Clark
Owner/ Therapist / Insightfullly You, LLC

This gave me and my staff some important insights and information regarding telehealth..

Larry Cowan
Executive Director / Samaritan Counseling and Growth

This course was easy and user friendly

Vanessa Reiser
Social Worker / JBFCS

I learned a great deal from this program and look forward to implementing telemental health in my therapy practice.

Michelle Hitchcock

It was fantastic! Just the forms he provides are worth the cost of the course!

Mark Wagemaker, LPC, NCC, DCC, CPCS
Counselor, Clinical Supervisor / Transitions Counseling

This was an excellent class and worth my time.  Ray provided great information and is clearly an expert in TMH!

Jennifer Stuckert
Director / Restoration Counselor of Atlanta, LLC

I found these courses informative and helpful. They make establishing best practices policies and procedures for telemental health services and supervising those who provide them. so much easier. I highly recommend his courses.

Nena Rybarczyk, MA, EMBA, LPC, NCC, CPCS
Counselor / Strategies for Life Counseling, LLC

Ray's workshop was one of the most informative I have taken in years. He brought clarity to took a topic which has been intimidating and I left feeling empowered!

Clinical Supervisor and Play Therapist / Georgia Association for Play Therapy