| FORM/request | Description | 
|---|---|
| Release of Information | Authorization to release mental health information | 
| No Show/Late Cancellation Fee Appeal Form | Request fee cancelation because of extenuating circumstances or an error | 
| Change of Clinician Request Form | Request to change mental health provider | 
| Request to Decline Disclosure | Request that your records not be posted to your Health & Counseling portal | 




