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Using this form you can contact the Counseling Center confidentially with a question, a comment, or a request that we call you to schedule an appointment. Only a professional in the Counseling Center will see this information. We can usually respond within one day, often within a few hours.
If you have an emergency, DO NOT use this form. The form sends an email to the professional staff, and can not be acted upon until the email is read. See our page Emergency Procedures.
If you would like us to contact you, please provide the following information. (If you are not asking to be contacted, you may of course, send this form anonymously.)
Your Name Campus Phone E-mail
Tell us how we should contact you (Check all ways that area acceptable to you. For example, if you do not wish us to call your room, do not check 'Phone.")
Email Phone Campus Mail
Type in your question or comment or just ask us to call you for an appointment, then click the "Submit Form" box below. We'll get back to you as soon as possible.
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