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Clinic Forms

Clinic Forms

Below you will find several forms that clinic staff will ask you to complete in advance of your first appointment with us. Please do not fill out or submit these forms unless you have been requested to complete them via email by clinic staff. Do not hesitate to email or call the clinic line with any questions!

Jump to: Adult Assessment | Child Assessment | Adult Therapy | Anxiety and Stress Disorders | Child Therapy

Adult Assessment Client

Child Assessment Client

Adult Therapy Client

Anxiety and Stress Disorders Client

Child Therapy Client

Couples Therapy Client

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Commitment to Diversity

The UNC Psychology and Neuroscience Community Clinic is committed to promoting diversity and inclusiveness in service of the goal of providing sensitive and competent care to all. We define diversity broadly including race, ethnicity, sex, sexual orientation, gender, gender identity, age, national origin, disability, socioeconomic status, religion, immigration status, and other attributes that contribute to one’s social identity. We maintain a commitment to treat all clients as valued and respected individuals across all differences.