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Behavioral Health Forms

Please complete all forms to begin the behavioral health process. For individual and group counseling, please complete the first three forms. If you are interested in couples counseling, then both you and your significant other would need to complete all four forms. Once complete, please send to the following email address: behavioralhealthservices@uiwtx.edu.

Once all forms are received and completed, we will contact you within 48 business hours to get your availability. We will do our best to get you scheduled in a timely manner based on your availability and the availability of the Behavioral Health staff. Thank you, and if you have any further questions please call (210) 832-5656.

Intake Forms