University of Rochester
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University Counseling Center (UCC)

Release of Information Form

The Release of Information Form is to be filled out only if you would like UCC to obtain information from a previous provider or if you would like us to share information with someone in particular.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

Last modified: Monday, 12-Oct-2009 16:33:47 EDT