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 Mental Health Counseling Registration

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​Welcome! 
We are glad you have decided to make your mental health a priority.  
The mission of our mental health counseling program is to provide students with research-informed, ethically sound and culturally sensitive mental health services. We support students by providing a safe environment for them to enhance their self-awareness, interpersonal skills and personal development. 

If you are seeking services during the FALL or SPRING semesters please download the COS Mental Health Services Welcome Packet below for more information on counseling and what to expect.

Welcome packet SP25 (1).pdf​ (what to expect from the mental health counseling process)​

The first step is to complete and return the mental health counseling registration forms​ (below) to the Student Health Center on your preferred campus. The forms can be picked up at the Student Health Center or downloaded by clicking on the link below. 

Counseling Intake Registration Form SP25.pdf (required to begin in-person or teletherapy services)

COS Health Center Telehealth consent.pdf ​(only required if you are requesting telehealth or teletherapy services)​

If you are unable to come to campus in person you may submit the forms through the secure portal by following the link below. 

Please click this link and follow the instructions on how to return your electronic forms in a confidential manner through our secure portal. NOTE: Each form must be submitted separately. 

Click here to submit forms electronically

If you are in immediate crisis, and need help for yourself or someone else, please contact one of the following resources:

National Suicide Prevention Lifeline at  1-800-273-8255 for free, confidential help, 24 hours a day 

Emergency response -911

Tulare Co. Crisis Hotline at 1-800-320-1616  


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 Contact Us

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​For more information or assistance with completing intake registration forms please contact:

Juan Gutierrez, Mental Health Case Coordinator
559-730-6244 or juangut@cos.edu
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Jill Maze, LCSW
559-730-3988 or jillm@cos.edu

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Visalia Campus 915 S. Mooney Blvd., Visalia, CA. 93277 559-730-3700
Hanford Educational Center 925 13th Ave., Hanford, CA. 93230 559-583-2500
Tulare College Center 4999 East Bardsley Avenue, Tulare, CA. 93274 559-688-3000