Consent for Administrative Evaluation

This form is for students who have been requested to undergo an administrative psychological evaluation to be conducted by Counseling and Psychological Services (CPS). 

IMPORTANT: E-SIGNATURE REQUIRED

This form requires an e-signature to be valid. Please open the below PDF in Adobe Acrobat or another app that allows you to enter information on PDFs (there are many free versions online) to e-sign the document then upload it to the Patient Portal as requested by your Columbia Health provider.