Name Description
We are interested in your perceptions of your experience with SIUE Counseling Services. 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.
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.
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.
Authorization for release of confidential health information.
Optional Disclosure of Mental Health Information
New Client Information
This link will enable students to access OQ Analyst so they can sign in to complete the TA assessment after they complete a session with their therapist.
Peer Support Application
Peer Support Recommendation Form
Peer Support Drop-In Appointment Feedback Form
Peer Support Workshop Feedback Form
Peer Support Workshop Schedule