Counseling Services Request

Counseling Services

This form if available for currently enrolled WLC students who are interested in learning more about counseling services and/or are looking for help. Complete this form to get connected with Counseling Services. Someone will reach out during normal business hours to set up an initial meeting.
If this is a mental health emergency, call or text 988 for immediate 24/7 support.
You can also contact Health & Counseling Services at 414.443.8630 during normal business hours.

Please note that confidentiality cannot be guaranteed with online forms. If you are uncomfortable sharing information via the form, please reach out directly to CounselingServices@wlc.edu or call 414.443.8549.
Full Name

First NameLast Name
Warrior OneCard ID#
WLC Email Address
first.last@mail.wlc.edu
Phone Number
Please enter a valid phone number.
Intended Major
Year at WLC

FreshmanSophomoreJuniorSeniorGraduate StudentOther
Student Athlete?

YesNoPrefer Not to Respond
Your Goals / Reasons for Reaching Out (check all that apply)

School, Life, Work Balance / AdjustmentGoal Setting / Time Management / AccountabilityEmotional Intelligence / Resiliency / Coping Skills and SupportTrauma / Abuse / AssaultMental Health Concerns: Anxiety, Depression, AngerMental Health Concerns: Suicidal Thoughts or BehaviorsNon-Suicidal Self-Injurious BehaviorsGrief or LossSpiritual Life Concerns / SupportRelationship Development / Concerns / Support (family, peer, significant other, etc.)Communication SkillsProfessional Development / Indecision / Uncertainty / Self-EsteemAcademic Concerns / SupportIntellectual Achievement / Learning DifficultiesEating and/or Dietary Concerns / SupportSubstance Use Concerns / Support (alcohol, marijuana, Rx pills, hallucinogens, etc.)Other Addiction Concerns / Support (social media, pornography, sex, caffeine, etc.)Medical Concerns / SupportPsychological Testing RequestFinancial Concerns: Food, Housing, Transportation &/or ClothingOther
Additional Comments
Should be Empty: