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 Mental Health Counseling Registration

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​​Welcome! 
We are glad you have decided to make your mental health a priority.  
The mission of our mental health counseling program is to provide students with research-informed, ethically sound and culturally sensitive mental health services. We support students by providing a safe environment for them to enhance their self-awareness, interpersonal skills and personal development. 

ATTENTION: For students seeking services during the SUMMER 2026 term, please note you must be actively enrolled in a summer course. Our summer services are outsourced to a contracted provider, and limited to telehealth appointments. If you are interested in these services contact Seng Leang Tang, LMFT at 559-380-6690, or call the Student Health Center M-TH between 9AM-1PM for more information.
The Student Health Center will be re-open for regular mental health ​services on Aug. 10, 2026. 

Welcome packet SP25 (1).pdf​ (what to expect from the mental health counseling process)​

The first step to starting counseling is to complete and return the mental health counseling registration forms​ (below) to the Student Health Center on your preferred campus. The forms can be picked up at the Student Health Center or downloaded by clicking the links​ below. 

Counseling Intake Registration Form SP25.pdf (required to begin in-person or teletherapy services)

COS Health Center Telehealth consent.pdf ​(only required if you are requesting telehealth/teletherapy services)​

​​​​Let's Talk Form SP25 (required if you are interested in Peer Mentoring Services) ​​​
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NOTE: If you are unable to come to campus in person you may submit the forms through the secure portal by following the link below. 

Please click this link and follow the instructions on how to return your electronic forms in a confidential manner through our secure portal. 
NOTE: Each form must be submitted separately. 


If you are in immediate crisis, and need help for yourself or someone else, please contact one of the following resources:

National Suicide Prevention Lifeline- 988  (free, confidential help, 24 hrs./day) 

Emergency response -911

Tulare Co. Mobile Crisis Response 1-800-320-1616  

Kings Co. Mobile Crisis Response- 559-247-4357 (HELP)




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 Contact Us

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For more information or assistance with completing intake registration forms please contact:

Juan Gutierrez, Mental Health Case Coordinator
559-730-6244 or juangut@cos.edu

Jill Maze, LCSW
559-730-3988 or jillm@cos.edu

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