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Counseling Services
Counseling Services
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Feedback Forms

We are interested in your perceptions of your experience with SIUE Counseling Services. Your participation in this survey will help us continue to improve our services. Your responses are anonymous unless you choose otherwise. When you are finished, please print and return the survey to front desk at Counseling Services. Please do not e-mail or fax the forms to Counseling Services.

Concerned Others Report

If you are concerned about a student that you believe may be at risk of harm, or who may intend to harm others, please feel free to use this form to communicate your concern to someone at the university. We especially encourage you to contact the office of the Dean of Students, as in many circumstances, Counseling Services may not be able to intervene due to issues of confidentiality.

Practicum Program Application - Recommendation Form

Please see our Training Opportunities for information about the practicum program. To complete an application for the practicum program, please submit two completed Recommendation Forms.

ADHD Assessment Forms

Release of Information Form

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