The University of Tulsa
Counseling and Psychological Services
WARNING: If this is an emergency, call 911 immediately.
Please enter your personal information below.
First Name:
*
Last Name:
*
Preferred Name:
Preferred Pronouns:
Date of birth
*
Student ID:
*
Mobile Phone:
OK to leave voicemail?
*
Yes
No
Other Phone:
OK to leave voicemail?
Yes
No
Text messaging:
*
Use Mobile phone
Use Other
Do not send text messages
TU Email:
OK to email?
*
Yes
No
Local Address
*
OK to contact at Local address?
*
Yes
No
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