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Counseling Services
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Optional Disclosure of Mental Health Information

Pursuant to the Illinois Student Optional Disclosure of Private Mental Health Act, 110 ILCS 74/, SIUE is required to offer all students the option of designating an adult whom they would want contacted in case of an imminent safety risk to themselves or others.  A student may state whether or not they would like to designate someone as an emergency contact who would be notified if an SIUE clinical psychologist, physician, licensed counselor, or other qualified examiner determines that the student poses a clear, imminent danger to self or other(s).

The choice to designate an emergency contact for the purposes of this Act is completely optional.   Students who wish to designate such an emergency contact may do so either by printing and completing the form (accessible through the link below) and submitting it to the Service Center, 1309 Rendleman Hall, or by following the instructions on page one of the form for logging in to CougarNet and designating an emergency contact online.

Click here to access the emergency contact form.

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