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.

Outreach Request Form Counseling and Psychological Services develops programs, workshops, and training opportunities for the university community. To request a presentation, please complete and submit 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.