New Client Paperwork for Counseling Sessions
Click on the links below to download our new client forms. These forms are typically required once an academic year. For a new appointment you will need to complete three separate forms:
- Telemental Health Services Informed Consent
- Counseling Service Informed Consent
- Personal Information Form
- Available Hours Grid
Some of these forms are multiple pages, 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.
New Client Paperwork for Psychiatry Sessions
Click on the link below to download our new client form for students meeting with our psychiatrist (medication evaluation and management). This form is typically required once per academic year.
Release of Information Forms
The Counseling Service adheres to very strong privacy guidelines. If you wish to request that information about your counseling records be released, look at the options below to determine which form best meets your needs.
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 be shared with other offices on campus, download this form: On-Campus Release of Information.
To request that information about your records be shared within Wellness Services (Counseling, Health Service, Health Promotion & Wellness, Case Management and/or the Sexual Assault Response Advocate), download this form: Internal Release of Information.