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Patient Paperwork

Please print and complete the forms below and bring them to the Walk-In Clinic, this will expedite your wait time when you arrive.

This is part of the paperwork that will need to be completed before your first appointment. If you do not wish to complete these forms now, you may complete them at the Counseling Center prior to your first appointment.

 
  IMPORTANT: If you do not present for your appointment and do not reschedule by 5 p.m. the next business day or if you cancel two consecutive appointments, your appointment time may be assigned to another student.  In this event, you understand that counseling services are still available to you, but you may be placed at a different time and or a different counselor depending on availability.

 

You will need to arrive 15-30 minutes before your appointment to complete all your paperwork.

Informed Consent - Yellow

Informed Consent Blue

Consent for Audio and Video

Consent to Treatment for Minors

Client Information Form