- Informed Consent for Telemental Health (pdf
- Counseling Services Contract (pdf)
- Informed Consent for Treatment (pdf)
- Counseling Intake Information and Consent (pdf)
These forms are for students who have a scheduled appointment with one of our on-campus counselors.
If you do not have an appointment, and would like one, please either use the make an appointment form, call 607-778-5210 or email counselingservices@sunybroome.edu to schedule an intake.
If you already have an intake appointment scheduled, please download these forms and fill them out prior to your appointment.
Please feel free to leave anything blank that you are not sure of and your counselor will talk you through it during your intake.
Thank you!
The Counseling Services Team
