Counseling Appointment Request Form

Student Life Health & Wellness Counseling Counseling Appointment Request Form

Counseling Appointment Request

For after-hours emergency mental health services, call Campus Police (864) 833-8911, the South Carolina Mobile Crisis Line 1-833-364-2274 or 911.

Name(Required)

First Last

PC ID(Required)

PC Email(Required)

Phone Number(Required)

Reason for Request

Anything else we need to know? All answers are confidential.