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Division of Student Affairs > Student Services > Counseling > DePaul UCS Referred Provider Survey
Thank you for taking the time to complete this survey. It is for providers contacted directly by DePaul UCS. If you came to this survey through a different source, please know that unsolicited survey responses will not be processed as the DePaul UCS referred providers database is not an “open system.” Clinicians interested in being included as a potential referred provider are welcome to contact the department to request a review of their services, but otherwise will not be added without a screening.
Clinician Contact Information:
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Contact Person for Referrals to Practice:
Clinician Type:
Psychiatry Services:
Board:
Clinician Degree:
Clinician License:
Practice Type:
Availability:
Health Insurance:
Fee Structure:
Specializations:
Clinican Demographics:
Client Fit: