University Counseling Services: Forms


Release of Information Form ( PDF – please print and sign the form)

*Please contact our office at 660-785-4014 if you have any questions or concerns about this form.

  • MAIL: You may mail the signed form to our office:
        Truman State University
        ATTN: University Counseling Services
        100 E Normal Ave.
       Kirksville, MO 63501
  • FAX: You may fax the signed form to our office at 660-785-7444.
  • EMAIL: You are also welcome to scan the signed form and email it to us at  (we will email you back to confirm receipt of your signed Release of Information form).

Change of counselor request form

Program request form