• PLEASE NOTE: Questions in this registration will refer to the ORIENTATION PACKET that is located on the NSU webpage https://www.nova.edu/studentcounseling/forms.html under the FORMS tab.

  • If you are experiencing thoughts of hurting yourself or others please call 911 immediately.

  • if YES please call 911 immediately, this is not an interactive 24 hour monitored communication system

  • EMERGENCY CONTACT: By filling in the information below, I give permission to speak to my Emergency Contact if necessary

  • Medical and Counseling Information

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  • Telehealth Consent Form

  • Please Upload 3 Files, Picture of your Government Issued ID, Your Class Schedule, and Student ID

     

    Total for all files cannot exceed 5MB, each file is limited to 1.65MB

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  • By clicking Submit, I confirm that I have reviewed the NSU FAQs and ORIENTATION PACKET

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