Forms

Forms

Here is a Listing of Many of the Forms Commonly used or Requested at the Counseling Center.

Office Forms (if you would like a copy of the forms you complete electronically)
	Word Document	.pdf File
Consent Form
Notice of Privacy Practices (HIPAA Form)

Academic Withdrawal Forms
Information about the Withdrawal Process
Off-Campus Early Withdrawal Application*
Off-Campus Late Withdrawal Application*
* This is only for students who are unable to come to campus.

Student Forms for Health Providers
Release of Information
Health Provider Letter

Student Appeal Forms
Appeal form for No Show Appointment Fee