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Counseling Services- Student Support Form


If you are experiencing a mental health emergency, please dial 9-1-1 or BayCare Behavioral Health at (800) 878-5470.

For questions related to class selection, degree requirements, and/or transfer information, please connect with Advising.

Welcome to the Counseling Services Support Form!

Our dedicated team provides a blend of emotional and academic support to help you thrive. Feeling stressed, worried, or just need someone to talk to? Counselors are here to listen and offer solutions. From short-term interventions to academic strategies for success, we're all about helping you succeed. Counselors can connect you with resources at the college and in your community.

Please Note:

  • Allow 24-48 business hours for counseling services to reach out to you regarding this concern.
  • This form is not reviewed after hours, over the weekend, or during college holidays/breaks/closures.  All forms will be reviewed upon reopening of services. Please review the College's Important Dates & Deadlines for college closure and holidays.
  • It is important to remember that Counseling Services at Valencia do not provide mental health therapy. If you are interested in therapy you can connect with BayCare to receive up to 3 free sessions of therapy as a Valencia student.

Are you trying to refer a student to Counseling Services? Visit the Counseling Services  website and select the "Refer a Student" option. 

 
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Current Supports: (check all that apply) Please note where you receive support and help in your life.(Required)
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Concerns/Needs: (check all that apply) Please note the specific concerns/needs you would like to discuss with Counseling Services.(Required)
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Acknowledgements: Please read and check next to the information below regarding Counseling Services expectations.(Required)
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Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

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