Syracuse UniversityCounseling Center

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Forms

Please contact us at (315)443-4715 for an explanation of our forms or if you have questions about how to complete a form.

Counseling Center Fax #: (315)443-4276

AUTHORIZATION FOR RELEASE OF CONFIDENTIAL INFORMATION 

This form allows for sharing of confidential information between the Counseling Center and a person, organization, or agency.

PARENTAL CONSENT FORM

This form is required to authorize treatment for individuals under the age of 18. 

Medical Leave of Absence - LETTER TO LICENSED MENTAL HEALTH PROFESSIONAL 

This letter details the required documentation to support a medical leave of absence. Medical Leave Information

Readmission - LETTER and QUESTIONNAIRE TO LICENSED MENTAL HEALTH PROFESSIONAL

This letter details the required documentation to support readmission to the University following a medical leave of absence. Readmission Information

Suspension Readmission - LETTER and QUESTIONNAIRE TO LICENSED MENTAL HEALTH PROFESSIONAL

This letter details the required documentation to support readmission to the University following a suspension. Suspension Readmission Information