Policies & Forms
Forms: – for Students Only
To be completed ONLY if requested by staff
Please use the following links to complete the forms via the web component:
- Initial Appointment Forms - (All 4 Initial Appointment forms must be completed prior to your first appointment this academic year)
Rights and Responsibilities, Telemental Health Informed Consent, Guidelines/Emergency Contact Form & Student Availability Form.
- Stone Center Counseling Service Emergency Contact Form (complete only if you would like to update your form). Please remember to update your Wellesley College emergency contact information via Workday!
Additional forms are available as PDFs – for Students and Outside Providers:
Release of Information Consent Form – please refer to the link above
Parental or Guardian Consent for Treatment of a Minor
Psychiatry/Medication Referral Form
Taping Consent Form
Information Sheet Regarding ADHD
Psychiatry/Medication Information Sheet
Mental Health Provider Report Form
Student Sexual Misconduct Policies: