University of Denver Athletics Sport Psychology Sign-Up

University of Denver Athletics Sport Psychology Sign-Up

*Answers and any information provided in this form are not considered HIPAA compliant, confidential, or encrypted.*
Services are available to currently rostered intercollegiate student-athletes. Please, do not use this form for emergency or urgent communication/requests. If you are in crisis, call 911, Campus Safety (303-871-3000) or contact DU's 24 Hour Crisis Line (303-871-2205).
Have you participated in individual DU sport psych services previously?*

YesNo
Student-athlete Name:*

First NameLast Name
Date of Birth*

MonthDayYear
Date
DU Email*
Simone.Biles@du.edu
Preferred Phone Number*
Please enter a valid phone number.
Sport*

Women's BasketballMen's BasketballWomen's GolfMen's GolfGymnasticsHockeyWomen's LacrosseMen's LacrosseSkiingWomen's SoccerMen's SoccerWomen's Swimming/DiveMen's Swimming/DiveWomen's TennisMen's TennisTriathlonVolleyball
Are you currently an active roster student-athlete?*

YesNo (I have medically retired, graduated, not been cleared to participate in sport by DU team physician, am taking an Olympic year off, exhausted eligibility, been cut, or quit my sport team)

Please indicate your availability within these time frames for the current quarter:*

I am interested in....

Mental performance training/mental skills to enhance performanceCounseling/therapy to address a mental health or life issueSome of both
Additional Comments / What I want my sport psych provider to know before the appointment:
When Will I Hear Back?

A sport psych staff member will email you back with available session times within 3 business days, Monday - Friday. We do not check sign-ups on weekends or holiday breaks. We make every effort to be as timely as possible in scheduling student-athletes, however there may be occasions where we get delayed. All student-athletes can also sign-up for sport psych appointments directly through their athletic trainer at anytime, which may be faster.
Please be aware that by submitting this sign-up form, you are NOT entering into a professional relationship of any kind with a sport psychology professional.*

"I understand."
Should be Empty:

Services are available to currently rostered intercollegiate student-athletes. Please, do not use this form for emergency or urgent communication/requests. If you are in crisis, call 911, Campus Safety (303-871-3000) or contact DU's 24 Hour Crisis Line (303-871-2205).