Students may find additional forms for Health Care and Counseling services in the Patient Portal. For questions or additional information, please email the Barnes Center at The Arch, or call 315.443.8000.
Please note that facility reservations may be requested through the Wellness Portal.
If the form you are looking for is unavailable, please call the Barnes Center at The Arch at 315.443.8000.
Please complete the form to request an interview with a member of the Division of Enrollment and the Student Experience.
- Authorization for the Release of Records (Counseling and Health Care) [PDF]
- Counseling Medical Leave of Absence Provider Letter [PDF]
- Counseling Medical Leave of Absence Provider Letter and Readmission Questionnaire [PDF]
- Parental Consent Form [PDF]
- Suspension Readmission Letter and Questionnaire [PDF]
- Authorization for the Release of Records (Counseling and Health Care) [PDF] (Coming soon!)
- Medical Transport Request Form [PDF]
- Event Submission Form
- (Coming soon!) Health Supply Order Form (Bulletin Board Kits, Bulk Sexual Health Supplies and Wellness First Aid Kits)
- Outreach Request Form (Consultation, Tabling and Workshops)
- Safer Sex Express Brand Ambassador Application
- Safer Sex Express Individual Order Form
- Sexual & Relationship Violence Student Education and Prevention Team (SEPT) Application
- SoulScape Fall 2019 Application
- Accident Report Form
- Challenge Course Reservation Request
- Challenge Course Assumption of Risk and Waiver of Liability
- Personal Training Registration Form
- Private Swim Lessons Registration Form
- Starting a New Sport Club Guidelines [PDF]
- Sport Club Advisor Packet and Contract [PDF] Please print a copy for your advisor.
- Sport Club Coaches Agreement [PDF]
- Sport Club Expenditure of Funds Form
- Sport Club Handbook
- Sport Club Member List [Excel Spreadsheet] For print purposes only.
- Sport Club Registration Form [PDF] For print purposes only.
- Sport Club Release of Liability Form
- Sport Club Sample Constitution [PDF]
- Sport Club Travel Form