Counseling Services Patient Forms

Minnesota State Moorhead Counseling Services wants to ensure we provide a safe, confidential setting where you can explore personal concerns and work toward achieving a better understanding of yourself. To make things easier, you’ll find forms and a description of their purpose to serve your needs effectively below.

Form
Description
Form
Description
This form is for students interested in scheduling a virtual meeting or phone call with a mental health provider within Counseling Services.
Form
Description
This form is used for referrals to the Counseling Services Case Manager/Navigator.
Form
Description
This form has been created for students to authorize verbal and/or written exchange about personal information.