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Counseling Service


Click on the links below to download our forms.  For an appointment you will need three separate forms: Information About Our Services Personal Information, and Available Hours Grid.  Some of these forms are 4 pages each, so you may want to print them double-sided in order to save paper.  Print two copies of Information About Our Services; keep one for yourself, and bring the other to your appointment.

To release information about your counseling records to off-campus individuals, download this form: Authorization to Use and Disclose Protected Health Information. 

To request that information about your counseling records with other offices on campus, download this form: On Campus Release of Information.  



Counseling Service

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