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Forms Manager
Appointment Request
Counseling provides quality, patient-centered mental health services at two convenient locations for enrolled CSB and SJU students. Office visits are free, confidential, and last approximately 50 minutes.
If you, or someone you know is experiencing a mental health crisis and/or is in immediate danger, please call 911; CSB Campus Life 320-363-5000; or SJU Life Safety Services at 320-363-2144. To speak with a counselor during office hours call CSB/SJU Counseling at 320-363-3236 or after hours call the Central MN Mental Health Crisis Line at 320-253-5555 or the Suicide and Crisis Lifeline at 988.
FILL OUT THIS FORM TO BE CONTACTED TO SCHEDULE A COUNSELING APPOINTMENT.
First Name
Last Name
Banner ID
Telephone Number
Counseling appointments can only be scheduled via phone (320-363-3236) or in person at Lottie Hall 010, CSB or Mary Hall 010, SJU.
Please select the best day(s) of the week and time(s) that you are available for our scheduling staff to CALL you.
MONDAYS
Select the best time(s) to call you.
8 - 9 a.m.
9 - 10 a.m.
10 - 11 a.m.
11 - 12 p.m.
1 - 2 p.m.
2 - 3 p.m.
3 - 4 p.m.
TUESDAYS
Select the best time(s) to call you.
8 - 9 a.m.
9 - 10 a.m.
10 - 11 a.m.
11 - 12 p.m.
1 - 2 p.m.
2 - 3 p.m.
3 - 4 p.m.
WEDNESDAYS
Select the best time(s) to call you.
8 - 9 a.m.
9 - 10 a.m.
10 - 11 a.m.
11 - 12 p.m.
1 - 2 p.m.
2 - 3 p.m.
3 - 4 p.m.
THURSDAYS
Select the best time(s) to call you.
8 - 9 a.m.
9 - 10 a.m.
10 - 11 a.m.
11 - 12 p.m.
1 - 2 p.m.
2 - 3 p.m.
3 - 4 p.m.
FRIDAYS
Select the best time(s) to call you.
8 - 9 a.m.
9 - 10 a.m.
10 - 11 a.m.
11 - 12 p.m.
1 - 2 p.m.
2 - 3 p.m.
3 - 4 p.m.
Additional Comments:
COUNSELING HOURS
Monday through Friday
8:00 a.m. - 4:30 p.m.
Closed for lunch
11:45 a.m. - 12:45 p.m.
Closed Tuesdays
8 - 9 a.m.
Closed weekends, breaks, campus weather closures, and summers
By submitting this form, you are consenting to having your personal information sent electronically to CSB/SJU Counseling in the Well-Being Center.
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