Michigan State University
Counseling & Psychiatric Services
(CAPS)
WARNING: If you are in a crisis please call 517-355-8270 and select option "1". If this is an immediate emergency, call 911 now.
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First Name:
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Middle Name:
Last Name:
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Date of birth:
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Student ID:
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Local Phone:
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Cell Phone:
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Home Phone:
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Do not send text messages
Email:
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Local Address
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Home Address
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Emergency Contact:
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