Counseling Appointment Request

Counseling Appointment Request Form

If you are in crisis please do not complete this form. Please call 509-358-7740 (during business hours) or the Crisis Line at 509-368-6500 (after business hours).

If you are a Yakima student do not fill out this form. Instead please email Lesley Brown at lesley.brown@wsu.edu or call 509-494-7925 to schedule an appointment with the WSU Health Sciences Yakima Counselor.

Please fill out the form below and a counselor or counseling staff will be in touch as soon as possible.

Student ID Number*
Name*
First Last
Phone*
WSU Email Address*
List your availability (days/times):*
Please Select Counselor Preference (If no preference, select 'no preference')*
- Jan McCormick, HERB 415 (W, Th, F)
- Jessica Mason, SAC 145 (M - F)
- Sabrina Votava, SAC 145
- No Preference