Once downloaded and complete, please return in person to the appropriate Office (preferred) or via Email at [email protected].
New Client Referral
This document is for the referral of new clients to our clinic. If you are a staff member, parent/guardian, or friend feel free to fill out a referral form for students you believe would benefit from clinical counseling services. This form asks the following:
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Informed Consent
This document is required to be signed by the legal parent/guardian of the student(s) requesting services. This document covers:
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Confidential Client Information Questionairre
This document is preferred to be completed by the student. This document covers:
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Release of Information
This document is not required for services. This document IS required if the legal parent/guardian would like outside information shared with the EMU Counseling clinic. Information that requires this document includes:
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