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Assistance is private confidential and free to all students. If you will require academic accommodations or adjustments for the above please sign here HILBERT COLLEGE COUNSELING OFFICE Phyllis Dewey 716 649-7900 ext. 123 bdelarosa hilbert. edu PLEASE FILL OUT OTHER SIDE. Release of Information for Mental Health Issues R OPTIONAL FORM Date of Birth / / If you have a special mental health issue that you would like to disclose to the Hilbert College Counseling Center you may enter that...
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