Forms

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  1. The following “client data sheets” will take only a few minutes to complete and will provide helpful information for your therapist to better understand your concerns. You can print these sheets and bring them with you to your first counseling appointment, or you can wait to fill them out at our office. This information will be kept confidential unless an urgent situation occurs in which permission from you is not obtainable. Your therapist reserves the right to discuss pertinent information with other professionals such as psychologists and physicians who would be involved in helping you. If you would like further information or have any questions about our policy on confidentiality, please be sure to ask your therapist. Client Data Sheet
  2. Application to create a new UNMC student organization.
  3. The following forms are only for those students requesting formal disability accommodations under the American with Disabilities Act. 
    The disability accommodations request form can be filled out on-line  
    OR
    you can print out the form (link), fill it out, and return it to Kelly Swoboda in the Counseling & Student Development Office, 984255 Nebraska Medical Center, Omaha, NE 68198-4255.

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