Forms

Forms for Student Counseling Services

Consent to Treat

In the state of Nebraska, the age of majority is 19 years old.  If you are under the age of 19, your parent will need to complete the Consent to Treat form and return it to our center.  The form can be emailed to our front desk staff (TerriFaga@creighton.edu, MichelleOverfelt@creighton.edu) or faxed to 402-280-1859.

Release of Information

This form will need to be completed if you are a client and wish to have any counseling records sent to an outside provider.

Power of Attorney 

This form, to be signed by parents or guardians, allows students regardless of age to give consent for own health and mental health care at Creighton.

Assessment Forms