Bucknell University Counseling & Student Development Center
Please note that students who wish to have medication management with the CSDC must be seen for current AND ongoing therapy at the CSDC.
Please click or tap the appropriate menu item below to indicate the forms you wish to complete.
New Client - Schedule First Time Appointment
1. Initial & Crisis Paperwork (once new client appointment is scheduled, just this set of forms)
4. Release of Information (permission to talk to others about you)
5. Alcohol & Other Drug (AOD) Assessment Paperwork
6. Alcohol & Other Drug (AOD) Release of Information
7. Psychiatric Release of Information when meeting with Psychiatrist
8. Mandated Evaluation/Consultation
9. Leave of Absence Forms
10. CCAPS 62
14. PHQ-9
Supervision Acknowledgement