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Forms

Release of Information   This form grants legal permission for Counseling & Psychological Services to share protected health information with another person or agency. Please be sure to complete the form entirely. Please call CPS at 740-593-1616 with your questions about the nature, purpose, or completion of this form.

Client Consent For Treatment   This form covers important policies such as confidentiality, fees for services, and voluntary consent to participate in counseling. All persons seeking services at CPS must understand and complete this document. It is also available at the Front Desk.

Outreach Training Request

Bobcats Who Care Training Request