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Forms

Once you are scheduled for an initial evaluation or therapy session, you must complete the corresponding link and your responses will be sent to the Clinic Assistant Director.

For evaluation clients, please submit responses at the following: 

Evaluation Intake Form

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

Last Updated: 9/14/21