Counseling Appointment
Request Form

DISCLAIMER: If this is an emergency, if you or someone else is in immediate danger, do not use this form - call 911. If you are thinking of harming yourself or someone else, do not use this form - call 911. The University will endeavor to maintain the information contained in the form as private and confidential, to the extent required by the law.

Please provide us with some information that will assist Compass Health (a partner of LSUE) with scheduling your appointment to best meet your needs.

Are you requesting to schedule an appointment for yourself or for someone else?
What is/are the primary reason(s) that you are requesting to schedule an appointment?
Check all that apply.
What days and times are you available?
 

 

 

Questions about Counseling at LSUE?

Contact the Dean of Student Affairs, Dr. Kyle Smith, at kdsmith@lsue.edu or call the Office of Student Affairs at 337-550-1218.