Office of Student Affairs

Mental Health Privacy Authorization Form

In compliance with Louisiana Act No. 157 (R.S. 17:3138.1), Nicholls State University gives all enrolled students the opportunity to complete a voluntary mental health privacy authorization form.  This form allows students to identify trusted individuals with whom the university may share important health information if a mental health crisis arises.  Our goal is to ensure students receive the support they need.

Access the Authorization to Release Information in the Event of a Mental Health Crisis Form

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