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CAPS Appointment Request

In a mental health emergency do not complete this form. Call:

If you already completed an Access appointment with CAPS during the Fall 2022 semester and you’d like to schedule an appointment at CAPS for a non-emergency please complete the following form:

Current Address (if different than address reported to CAPS during Fall 2022)
Home Address (if different than address reported to CAPS during Fall 2022)
Emergency Contact (Must be over 21 years old)
CAPS Information
Schedule an Access Appointment
When are you are available to attend counseling? Please select at least 4 options. More times will make it easier to schedule.