University of Rochester
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University Counseling Center (UCC)

UCC Forms

To save time before coming to your appointment at the Counseling Center, you can print and fill out requested forms. Please complete the forms and bring them with you to your scheduled appointment.

Prior to the first visit or the first visit of the academic year the Information Sheet and Informed Consent Form should be filled out and brought with you to your appointment.

All forms can be printed in either Word Document or Acrobat Reader format.

Please confirm with the office which form you will need.
Information Sheet
Informed Consent for Treatment Form
Medical History Form
Release of Info Form
Release of Info - Admin
Group Interest Form

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please send questions about the technical structure/operation to the UCC Web Master

Last modified: Monday, 12-Oct-2009 16:33:41 EDT