Mental Health Support Request Form

Important Information about accessing Mental Health Services

During COVID-19, many students are studying outside the province of Alberta. Our mental health team are licensed to practice in Alberta. In some circumstances, team members are able to obtain temporary licensure to provide mental health services to students located in other select provinces on an as-needed basis.

Students currently residing outside of Alberta are encouraged to contact [email protected] to confirm eligibility for services. Please indicate the current province in which you are located and the province of your primary residence (if different). If you are not eligible for services, we will help connect you to alternative supports.

This appointment request form should not be used for crisis situations. If you are in need of immediate support please contact one of our community partners.

We will respond to your appointment request within 2 business days.

First Name

Last Name

Preferred Name

UCID number

Which province are you located in?

UCalgary Email Address

Can we send an email?

Yes

Phone Number

Best time of day to call

Please indicate a time during our business hours (9 a.m. to 4:30 p.m.).

Can we leave a voicemail message?

Yes

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Collection of personal information
Your personal information is collected under the authority of section 33(c) of the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection or use of this information, please visit our Access to Information page.