Forms

****Important Information to read before completing paperwork****

This paperwork is for those wanting to set up ongoing sessions with a therapist.    It must be completed by the individual that is seeking counseling.  This paperwork is not intended for emergencies or for those that are in crisis.  For crisis care, please call our office at 501-450-3138 during business hours. For after-hours, contact the UCA PD at 501-450-3111.  For emergencies contact 911 or go to your nearest emergency room.


  1. Complete the online forms here: https://uca-cc.titaniumhwc.com/  Be sure to complete all pages until you reach the submit button.  You will be asked to complete a Telemental Health Consent Form.  We are offering in-person sessions, but this form needs to be on file in the event that we have to pivot to online services. The forms work best with a tablet, laptop, or desktop.  If you have any questions or technical issues, please call us.

  2. After you have completed all of the forms you will be assigned to a counselor and someone will call you to set up your first appointments.  New clients are generally assigned at the beginning and middle of each week.  You should receive a call within 2 weeks of completing the paperwork.  Call our office at any time if you have questions or concerns.

 

Be sure to review the UCA Counseling Center Confidentiality Policy and  UCA Counseling Center Tele-Mental Health Information form.

We offer you some suggestions on what you can be doing while you wait for your first appointment.