Counseling Center Forms--Attachments
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Document Number: COUNS--116pr
Revision #: 2.0
Document Owner: Dean of Students
Date Last Updated: 12/18/2017
Primary Author: Director of Counseling/Disability Services/Disability Services Center
Status: Approved
Date Originally Created: 02/28/2012
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General Description
Description / Scope: Multiple forms used in Counseling Services.
When Performed: As needed
Responsibilities: Counseling Services
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Process Steps or Stages
1. Multiple list of forms
COUNS--116pr_APPENDIX A CUCC Client Information
COUNS--116pr_APPENDIX B CUCC Informed Consent and Confidentiality Form
COUNS--116pr_APPENDIX C CUCC Criteria for Outside Referral
COUNS--116pr_APPENDIX D CUCC Client Questionnaire
COUNS--116pr_APPENDIX E CUCC Client Questionnaire Update
COUNS--116p_APPENDIX T CUCC Guidelines for Managing Volatile Clients
COUNS--116p_APPENDIX U CUCC Risk Assessment Summary--Self
COUNS--116p_APPENDIX V CUCC Risk Assessment Summary--Other
COUNS--116p_APPENDIX W CUCC What Should You do After a Sexual Assault or Rape
Who Performs / Responsibility:
Counseling Services
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Subject Experts
The following may be consulted for additional information.
Director of Counseling/Disability Services/Disability Services Center
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Regulations
This document pertains to the following regulations:
Standards of good practice