How to Use Our Services

Please call 503-768-7160 or email and provide your availability to request an appointment with a counselor. Please see below to determine what type of appointment you are looking for.

We give students in crisis first priority for services. Students who experience suicidal thoughts or thoughts of wanting to harm someone else should contact us right away. Click here for more information about accessing crisis support.

Please let us know if you are seeking an urgent crisis appointment, and we will strive to offer a same day or next day (weekday) appointment.

Students interested in ongoing counseling services are encouraged to call 503-768-7160 or email and provide your availability to schedule an initial consultation with a counselor. Lewis & Clark counselors will meet with students to determine appropriate next steps for care which may include: referral to another Lewis & Clark support resource, a follow-up appointment with the Student Counseling Center, placement on an assignment list for ongoing counseling, and/or referral to off-campus resources. Please let us know when you contact us if you think you might need any disability-related accommodations to support your engagement with us.


If you simply want to talk with a counselor one time (for instance, to work toward problem solving a specific issue or to have a sounding board for a decision or action you need to take) you are welcome to request a consultation appointment with a counselor.

Counseling services are free of charge for currently enrolled undergraduate, law, and graduate students. There are modest fees for consultations with our psychiatry staff, but we can provide you with a receipt that you may be able to submit to your health insurance plan for reimbursement. Please be aware that we do assess a fee when a student makes an appointment but no-shows without canceling.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit or call CMS 1-800-985-3059