Division of Student Affairs > Support Services > Counseling > DePaul UCS Referred Provider Survey Approval

DePaul UCS Referred Provider Survey : Approval

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Clinician Contact Information


Contact Person for Referrals to Practice:


Clinician Type:


Clinician Degree:













Clinician License:


Practice Type:


Availability:


Health Insurance:


Fee Structure:


Sliding Scale:













Specializations:












































Client Fit:


































By checking "Yes", data will be shown at the ucs providers list.