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Paperwork Needed to Make an Appointment

If you would like to make a first appointment to see a counselor and want to fill out your intake paperwork in advance you can print out the needed forms below. This will save you 10-15 minutes of sitting in our waiting room filling out these forms at the time of your first appointment.

Because our web sites are neither confidential or encrypted you may not submit these forms on the internet or email them to UCCS due to lack of confidentiality. Any forms submitted over email will be immediately deleted without being printed.

Please follow the instructions below to fill out the forms needed for the particular type of counseling you are seeking. (You may request more than one type of counseling in which case you can fill out all the applicable forms/questionnaires).

Type of Counseling Form(s) You Need To Fill Out
Academic Counseling

Client Information Form (pdf)
Personal Information Form (pdf)
Learning & Academic Skills Checklist (pdf)

Career Counseling

Client Information Form (pdf)
Personal Information Form (pdf)
Career Concerns Checklist (pdf)

Personal Counseling

Client Information Form (pdf)
Personal Information Form (pdf)
Personal Concerns Checklist (pdf)

Learning Assistance Learning Assistance Information (pdf)