You can print and fill out a form and either scan it and email it back to hcs@carleton.ca or bring it to the clinic in Room 2600 CTTC Building.

Medical Forms:

Release of Information (pdf 148KB)

First Visit – Electronic Consent (pdf 41KB)

First Visit – International Student Legal Consent (pdf 528KB)

First Visit – International Student Claim Authorization (pdf 187KB)

Counselling Forms:

GAD-7 (pdf 11KB)

Beck’s Depression Inventory (pdf 507KB)

ADHD Self Report (ASRS) (pdf 36KB)

Patient Health Questionnaire (PHQ-9) (pdf 35KB)