Medical History and Consent for Treatment (2019-2020) – .pdf
Click link above and input ePass to begin! We offer the convenience of an online secure portal which allows a safe and confidential method to complete New Client or Re-Intake information. If link above is not functioning due to PLU server issues, please try again later in the day or complete the paper form below. (Intake forms for PLU Student use only.)
(Use this Print Version only if link to online forms is not functioning.) - Students who are brand new to the Counseling Center, or whose last visit was at least 2 school years ago, may print and fill out this packet before their first appointment with the Counseling Center Staff. (Note: This form is designed to be printed double-sided.)
(Use this Print Version only if link to online forms is not functioning.) - Students who have met with a counselor during the last academic year, and plan to meet with a counselor the current academic year, may print and fill out these forms before their first appointment to update our records and contact information. (Note: This form is designed to be printed double-sided.)
This tool is to help you make decisions in those critical times facing a student in distress. It is grouped by type of incident, then offers FACTS, what to DO, and what to AVOID in order to minimize confrontation or risk of negligence.