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Counseling Center

Humphreys 131
Warrensburg, MO 64093
Phone: 660-543-4060
Hours: 8 AM-12PM, 1PM-5PM
Summer: M-TH 7:30AM-12PM,1PM-4:30PM



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Counseling Center

Forms

Initial Consulations Forms

If your Initial Consultation appointment is scheduled for Monday at 8:00 am or Monday-Friday at 1:00 pm, you will want to carefully read the following forms, and print and complete the Data Sheet form to bring with you to your appointment. Once you arrive, you will sign a form stating that you have read and received the Client Services Agreement and Privacy Notice.

 

Client Services Agreement
Privacy Notice
Data Sheet

Additional forms for students under 18
Special Aspects of Consent to Treatment and Confidentiality for Students Under Eighteen
Parent/Legal Guardian Consent for Psychological Treatment of a Minor at the University of Central Missouri Counseling Center
Authorization for Release and/or Receipt of Information
Authorization for Release and/or Receipt of Information