Alice! Health Promotion

• ACHA-NCHA Consent Form (PDF)
• 21st Birthday Greeting Card Consent Form (PDF)
• Interactive Trainings (Online)
• Stressbusters Request Form (Online) 
• Graduate Student Internship/Practicum Application (PDF)

   

Counseling and Psychological Services

• Consent for Release of Information (PDF)
  
   

Disability Services

General Forms

• Registration Form (PDF)
• Request for Supplemental Accommodations (PDF)
• Release of Information (PDF)
• Campus Access Map (PDF)
• Disability Services Policy on Confidentiality (PDF)
  
• Service and Assistance Animal Policy (PDF)
• Venue Accessibility Survey (PDF)

Documentation Guidelines

• General Disability Documentation Guidelines (PDF)
• Learning Disability Documentation Guidelines (PDF)
• ADD/ADHD Documentation Guidelines (PDF)
• Psychiatric Disability Documentation Guidelines (PDF)
• Sensory Disability Documentation Guidelines (PDF)
• Verification of Disability Form for Asthma and Allergy Conditions (PDF)
  This form is required for students requesting accommodation on the basis of asthma or allergy. Physician letters are not accepted.
• Verification of Disability Form for Medical Providers (PDF)
  This form can be used in lieu of a clinician letter and must be completed by a qualified professional. Students are responsible for ensuring that information provided meets Disability Services guidelines for documentation by disability type. Refer to documentation guidelines (see above) for more information on requirements by disability type.
• Verification of Disability for Mental Health Treatment Providers (PDF)
  This form can be used in lieu of a mental health clinician letter and must be completed by a qualified professional to document a psychiatric disability. Students are responsible for ensuring that information provided meets Disability Services guidelines for documentation by disability type. Refer to documentation guidelines (see above) for more information on requirements by disability type.
   

Request for Services and Accommodations

• Accommodation Letter Request Form for Undergraduate Students  (Online)
• Request for Foreign Language Substitution (PDF)
• Request for Housing Accommodations - CC & SEAS (PDF)
• Request for Housing Accommodations - CUMC (PDF)
• Request for Housing Accommodations - GS & Graduate (PDF)
• Request for Note-taking Services (Online)
• Request for Sign-Language Interpreting Services (Online)
• Request for Speech-to-Text Services (Online)
• Request Test Accommodation (PDF)
• Request Quiz Accommodation (PDF)
   

Events and Funding Committee

• Event and Funding Guidelines and Application (PDF)
  
   

Columbia Health Program

• Columbia Health Program Voluntary Summer Enrollment Form 2012-2013 (PDF)
• Columbia Health Program Voluntary Enrollment Form 2012-2013 (PDF)

Immunization

• Measles, Mumps, and Rubella Form (PDF)

Minor Authorization Form

• Under 18/Minor Authorization Form (PDF)

Media Inquiries

• Media Inquiries Form (Online)

Medical Services

• Authorization for Release of Health Information (PDF)
• Medical Services Patient Satisfaction Survey Consent Form (Online)
   

New Student Orientation Staff Request

• Staff Request Form (Online)

Sexual Violence Response

• NSOP Consent Educator Application (Online)
• Men's Peer Education/Outreach Training Application (Online)
• Peer Advocate Application (Online)
• Peer Educator Application (Online)

Special Healthcare Needs Fund

• Special Healthcare Needs Application Form (PDF)

Website Feedback

• RSVP Form - Feedback Events (Online)