Counseling Forms

ONLINE FORMS - New Client / ReIntake / Same-Day (link)

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Students must have an appointment first before submitting online paperwork.  Please contact our office for assistance.

Using Etrieve - Secure Document Transmission to PLU Counseling Services (link)

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Link and instructions to securely transmit personal/confidential documents to our office.

Authorization to Obtain/Disclose Information or Records (pdf)

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Use this form to authorize our office to release/request your confidential information or records to/from another person/organization.

Notice of Privacy Practices and Disclosure Statement - Updated Aug. 2024 (pdf)

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Telemental Health (TMH) Informed Consent (pdf)

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PLU Counseling Services offers Telemental Health (TMH) counseling services for students residing in Washington state, due to licensing restrictions.  Information about Telemental Health is provided here, and for clients who desire to use the service, consent is required.

Counseling Services Referral Support (pdf)

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Waiting for Your Appointment (pdf)

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