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Counseling Services


If you have scheduled a first appointment at the Counseling Center, please click on each of the three documents below and fill in the appropriate information.  Please be sure to hit the "submit" button once you've completed all questions on each document.  If you have difficulty, for whatever reason, completing the forms online, call the Counseling Center (x. 2562) and someone will be glad to help you.  It should take approximately thirty minutes to complete all three forms.

Student Data Sheet - Part 1

Student Data Sheet - Part 2

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Defiance College | Defy the Ordinary
701 N. Clinton St.
Defiance, OH 43512
1.800.520.GODC
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© 2007-2012 Defiance College. All Rights Reserved.

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