Group Counseling Registration

Use this form to register for group counseling at Sindecuse Health Center Counseling Services. Please check all groups that you wish to attend. Students requesting a group will also complete an individual screening. A counselor will reach out to you to discuss the process.  Groups are described in more detail at the Group Counseling page.

 Please do not use this form to request immediate support.  If you are considering suicide, get help by calling 911 or by calling or texting the .  Data transmitted online is not considered secure and cannot be guaranteed to be confidential. You may also call Counseling Services at (269) 387-1850 to register.

Your nine-digit 麻豆社Identification Number.
Contact: Sorry, texting is not available. (required)
Do you prefer contact by email or phone?
Fall 2024 groups chosen: (required)
Choose all the groups you wish to apply to.