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University of Houston
Counseling and Psychological Services

Please click or tap the appropriate menu item below to indicate the forms you wish to complete.

Access Visit
Access Visit (Return Visit/ Same Semester)
Access Visit (Staff/ Faculty): Consent Forms Only
Access Visit - Crisis
Focused Care Hour Questionnaire (after AV)
Treatment Planning (Individual)
Treatment Planning (Couples)
CCAPS-34
CCAPS-62
Opt Out Form for Video Recording
Group Therapy Confidentiality Agreement
Workshop Confidentiality Agreement
Late Cancel/ No-Show Appeal Form
Therapist Change Request
Authorization to Release Information (General)
Authorization to Release Information (UH Psychiatry)
Authorization to Release Information (NPC/ Ben Taub)
Authorization to Release Information (Care Team)
Authorization to Release Information (SOS)
Authorization to Release Information (UAA)
Authoriziation to Release Information (ISSSO)
Authorization to Release Information (Dart)
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