The following forms are downloadable PDFs, in which you may type and save your responses. Completed paperwork may be e-mailed to the Assistant Director or mailed to the address below.
For adult clients, please submit the following:
For child/adolescent clients, please submit the following:
All clients should read the following:
Notice of Privacy Practices
If you have questions about these forms or would like to submit completed paperwork via e-mail, please contact the Assistant Director at 801-581-6068.
Please send all mail correspondence to:
Department of Educational Psychology
1721 E. Campus Center Drive, SAEC 3220
Salt Lake City, UT 84112