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).

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*
What program and cohort year are you in (e.g., Pharmacy year 1, Nursing J2, Medicine year 3, NEP Senior, etc.)?
Where will you be physically located during your counseling appointments (City and State)?
List your availability (days/times):*
Would you prefer a Zoom or Phone Session (choose only one)?
- Zoom Session
- Phone Session
Please Select Counselor Preference (If no preference, select 'no preference')*
- Jan McCormick (W, Th, F)
- Jessica Mason (M - F)
- Sabrina Votava (M - Th)
- Lesley Brown (M, W, Th, F)
- No Preference