{"id":1639,"date":"2025-09-23T11:30:06","date_gmt":"2025-09-23T16:30:06","guid":{"rendered":"https:\/\/www.nicholls.edu\/student-affairs\/?page_id=1639"},"modified":"2025-09-29T10:04:02","modified_gmt":"2025-09-29T15:04:02","slug":"mental-health-privacy-authorization-form","status":"publish","type":"page","link":"https:\/\/www.nicholls.edu\/student-affairs\/mental-health-privacy-authorization-form\/","title":{"rendered":"Mental Health Privacy Authorization Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1639\" class=\"elementor elementor-1639\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a3aa56d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a3aa56d\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f96861c\" data-id=\"f96861c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1127c31 elementor-widget elementor-widget-spacer\" data-id=\"1127c31\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3500c19 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3500c19\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-923db6c\" data-id=\"923db6c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1752c9b elementor-widget elementor-widget-heading\" data-id=\"1752c9b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Mental Health Privacy Authorization Form<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-28cc6fb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"28cc6fb\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9d8f07a\" data-id=\"9d8f07a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3cd8376 elementor-widget elementor-widget-text-editor\" data-id=\"3cd8376\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>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.\u00a0 This form allows students to identify trusted individuals with whom the university may share important health information if a mental health crisis arises.\u00a0 Our goal is to ensure students receive the support they need.<\/p><p><a href=\"https:\/\/bnpssb1.nicholls.edu:8444\/BannerExtensibility\/customPage\/page\/ACT157\" target=\"_blank\" rel=\"noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/bnpssb1.nicholls.edu:8444\/BannerExtensibility\/customPage\/page\/ACT157&amp;source=gmail&amp;ust=1758724516109000&amp;usg=AOvVaw1dDAxYyzvxeQrjWRrKMuwO\">Access the Authorization to Release Information in the Event of a Mental Health Crisis Form<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-44587e7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"44587e7\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-fc17701\" data-id=\"fc17701\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>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.\u00a0 This form allows students to identify trusted individuals with whom the university may share important health information if a mental health crisis arises.\u00a0 [&hellip;]<\/p>\n","protected":false},"author":50,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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