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The forms below are available for download in Adobe PDF format.
- Minor Consent - Permission to Receive Services - for students under 18 years of age to receive counseling services.
- Minor Revoke Consent - after parent/guardian has given permission for their under 18 years of age student to receive mental health counseling, the student does have the right to refuse access to their records including attendance.
- Consent / Permission to Talk with Parent / Guardian - this gives the Counseling Center written permission to talk to the student's parents/guardians if they want that.
- Authorization for Release of Information - form used so current counselor/physician can speak to a counselor at SUNY Potsdam and provide a continuation of services for students.