A Counseling Center Village webpage
http://ccvillage.buffalo.edu/

Paperwork & Clinical Documentation

Intake / Screening

Arrow Bullet  Oregon State University 
       Complete Set of Counseling Center Forms

Arrow Bullet  Rensselaer Polytechnic Institute
       Complete Set of Counseling Center Forms

Arrow Bullet  UMass Lowell
       Concerns Checklist

Arrow Bullet  SUNY-Buffalo
       1. Intake Worksheet
       2. Intake Summary
       3. Couples Intake Summary

Arrow Bullet  Tarleton State University
       Preliminary Interview

Arrow Bullet  University of Connecticut
       Intake Summary

Arrow Bullet  University of Virginia
       Intake Assessment/Medication Evaluation

Arrow Bullet Other Intake Forms from other schools
 


Progress / Case Notes

Arrow Bullet  Tarleton State University
       Progress Note


Termination Summaries

Arrow Bullet  SUNY-Buffalo
       1. Termination Summary
       2. Couples Termination
       3. Group Termination

Arrow Bullet  Tarleton State University (1998)
       Termination Summary


 

General Client Forms

Arrow Bullet  Lawrence University
       Client Information Inventory


Informed Consent / Client Information Forms

Arrow Bullet  U of Michigan
       Informed Consent

Arrow Bullet  SUNY-Buffalo
       1. Client Rights & Responsibilities
       2. Minor Request for Services
       3. Consent to Recording

Arrow Bullet  College of William and Mary
       Client Information

Arrow Bullet  Lawrence University
       Client Consent

Arrow Bullet  APA Insurance Trust
       Model Consent / Contract Form - HTML


Release of Information

Arrow Bullet  SUNY-Buffalo

Arrow Bullet  College of William and Mary

Arrow Bullet  Lawrence University


Misc. Forms / Policies / Guides

Arrow Bullet  SUNY-Buffalo
       1. Email Policy
       2. OQ45 Scoring


 


 


David L. Gilles-Thomas, Ph.D.