Counseling Appointment Request Form - Center for Student Well-being (CSW)
If you are experiencing an emergency on campus, please go directly to the Medical Services or call 02.2615.4000.
If you are experiencing an emergency, off-campus, please head to the nearest hospital or call the Egyptian mental health hotline at 08008880700.

CSW counselors strive to establish a trusting therapeutic relationship to facilitate insight and growth. If you are unable to establish that relationship with your assigned counselor within the first few sessions, you have the right to request to be referred to a different counselor.

CSW only provides appointments for enrolled students. If you graduated or are no longer attending AUC, here are some counseling referrals in the community that you may wish to make use of: https://docs.google.com/document/d/1dIGfaD76Lvsftl4t01Z9EVO1jK23j8W2iZ761XWfa1U/
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Counseling Intake Form
Please refer to CSW's website for additional information: https://www.aucegypt.edu/students/well-being/
Location of appointment:  Center for Student Well-being, P001 Campus Center
Below the Office of the Dean of Students & Career Center - Across Americana Food Court (under the bridge). You can choose whether you prefer to attend your sessions in-person or virtually.
Student ID *
Student name *
Student email *
Mobile number *
Emergency contact (This is the person that you would like us to contact in cases of emergency only). Please indicate relationship of person to you, name, and mobile number. *
How disruptive are your concerns to other aspects of your life?   *
Check the 3 strongest feelings you have related to your most pressing Issue(s): *
Required
Specify the issues that you need help with: *
Required
Mode of session: online or face-to-face. (Note: Preference will  be accommodated based on availability of counselors) *
Preferred times for appointment and excluded times (ie. class times or other commitment timings that wont work).  Note: CSW's operating hours are from 8:30 am - 4 pm.   *
Did you receive any previous counseling / psychological or psychiatric help?  If you've been supported by one of CSW counselors and would like to continue with the same person, please include their name below.   *
Additional information
Do you reside at the AUC Campus Residences (Dorms)? *
Do you reside at
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