College of Education and Professional Studies
Intake Paperwork
Individual Intake Documents
- Clinic Folder Checklist
- Counseling and Non-Counseling Contacts
- Authorization to Release
- Listing of Disclosures of Confidential Information
- HIPAA Privacy Notice
- HIPAA Patient Acknowledgement
- UCO Services Consent Form
- Demographic Form
- Adult Intake Assessment
- Youth Intake Assessment
- Suicidality Assessment
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