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Student Counseling Intake Form

If you are experiencing a mental health crisis, (persistent thoughts about harming yourself or others, manic symptoms such as unnatural energy or decreased need for sleep, or seeing or hearing things that others do not) please come to the Counseling Center M-Th between 9:00-12:00, no appointment is needed. For crisis needs outside these hours, contact either the RD on call, Campus Safety at 479-215-5000 or dial 911.

To start counseling sessions with the JBU Student Counseling Center, please fill out the Intake Appointment Request form below. We will reach out to you to schedule your initial assessment appointment which will be conducted in person and scheduled within 1-2 weeks.

If you need to be seen sooner, on M-TH, we offer same-day single session appointments on a limited basis. You can request these appointments by calling (479)524-7251 between 9-10am. These are scheduled on a first come, first served basis.

How can we best assist you?*
Counselor preference
Although counselors may be limited by space and availability, and preferences cannot be guaranteed, we seek to accommodate client preferences.
Language Preference

Please indicate your availability below. Select all options that apply (any hours you are not in class or working), so that we are able to schedule your intake as soon as possible.

Monday counseling availability
Tuesday
Wednesday counseling availability
Thursday
Friday

We will schedule your intake appointment on the first possible date, based on your availability.