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Forms

If your clinician has asked you to complete a form please find links to either Adobe Sign or PDF forms you can download.

Adobe Sign Documents requiring ID

  1. Complete all the portions of the form as discussed with your clinician. You will be prompted to enter your email to confirm your submission.  Respond to the confirmation email Adobe sends to your email box (Click the blue link "Confirm my email address").  This will submit the form to the Counseling Center.
  2. From your TXST email, send a picture of your government issued identification card that clearly displays your picture and signature to counselingcenter@txstate.edu.
  3. For some processes it will take 2 business days.  Your clinician to follow-up with you via phone or email.

Adobe Sign- Authorization to Release Obtain Share Confidential Information

Adobe Sign- Consent By Minor To Counseling

Adobe Sign Documents for SHC and Group Counseling

Complete all the portions of the form as discussed with your clinician. You will be prompted to enter your email to confirm your submission.  Respond to the confirmation email Adobe sends to your email box (Click the blue link "Confirm my email address").  This will submit the form to the Counseling Center.

Adobe Sign- Student Health Authorization to Exchange Confidential Information Between the Counseling Center and Student Health Center

Adobe Sign-Texas State University Counseling Center Group Participation Agreement

Group Supervision Disclosure Statement TMH

 

PDF documents for download

Safety Plan

Self-Care Plan

Counseling Goals