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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 mental health counseling during the SUMMER 2024 summer school sessions, please read this flyer for information about our summer services.
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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 SP24.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 SP24.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. Follow 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. 


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

Jill Maze, LCSW
559-730-3988 or jillm@cos.edu

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