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Jerome Mills, LCSW 143 Ridgeway Drive, Ste #205 Lafayette, LA 70503 www.jeromemills.com3373153816 Fax 3375219096PLEASE HAVE PATIENT COMPLETE THE FOLLOWINGPatient Information: Patient Name: Date of

How to fill out mills counseling service 143

How to fill out mills counseling service 143

1. To fill out Mills Counseling Service 143 form, follow these steps:
2. Begin by providing your personal information such as your name, contact details, and student ID number.
3. Indicate the reason for seeking counseling services and provide any relevant details about your concerns or issues.
4. Fill out the demographic information section, including your age, gender, ethnicity, and academic program.
5. Answer the questions regarding your mental health history, previous counseling experiences, and any current medications you are taking.
6. Provide information about your availability for counseling sessions and any preferences you have regarding the counselor or type of therapy.
7. Sign and date the form to indicate that all the information provided is accurate and complete.
8. Submit the filled-out form to the Mills Counseling Service office either in person or through the designated submission method.
9. Please note that additional documentation may be required depending on your specific situation or if you are seeking specific accommodations.

Who needs mills counseling service 143?

1. Mills Counseling Service 143 is available for anyone who requires counseling support. Some individuals who may benefit from this service include:
2. - Students at Mills College who are experiencing emotional distress, mental health concerns, or struggling with personal issues.
3. - Students who require assistance in dealing with academic stress, relationship difficulties, anxiety, depression, or other mental health challenges.
4. - Individuals who feel the need to talk to a professional counselor in a safe and supportive environment.
5. - Students who are seeking guidance, coping strategies, or advice to manage and address their emotional well-being.
6. If you are uncertain about whether you could benefit from Mills Counseling Service 143, it is recommended to reach out to the counseling office to discuss your concerns and determine the best course of action.

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What is mills counseling service 143?

Mills Counseling Service 143 is a specific form used for reporting counseling services provided to students under the Mills Act.

Who is required to file mills counseling service 143?

Schools or educational institutions that provide counseling services under the Mills Act are required to file Mills Counseling Service 143.

How to fill out mills counseling service 143?

To fill out Mills Counseling Service 143, one should follow the provided instructions, filling in required fields such as student details, service dates, and type of counseling provided.

What is the purpose of mills counseling service 143?

The purpose of Mills Counseling Service 143 is to document and report the counseling services provided to students, ensuring compliance with educational and regulatory standards.

What information must be reported on mills counseling service 143?

Information such as the student's name, counseling services rendered, date of services, and signatures of the counselor and student must be reported on Mills Counseling Service 143.