Please complete this form to request an appointment for an individual, family or relationship counseling session.

Please note:听Due to temporary staffing shortages, our average wait time for a provider to reach out to your request has been extended. If you do not hear from an FSAP provider after 7 days following the submission of this form, please contact听fsapintake@colorado.edu. If you need to get connected to a provider sooner, please consider using听AcademicLiveCare听for unlimited and free virtual therapy as an employee of the university, or use听听to identify a provider in the community. We sincerely apologize for the inconvenience and thank you for your patience and understanding. Thank you.

Eligibility

  • FSAP services are only available for CU 麻豆影院 staff, faculty and employees.
  • Non-affiliates and fully retired employees are not eligible for FSAP.
  • Student workers and graduate students should contact for support.
  • If you are a UCCS employee, please use our UCCS form.

CU 麻豆影院 staff, faculty and employees are eligible for seven (7) free counseling sessions per rolling year.

听Important note:听State law requires FSAP counseling clients to be physically located in the state of Colorado at the time of service. We cannot provide counseling to clients who are temporarily or permanently located outside of Colorado.听

Urgent support

If you need urgent or crisis support, please call the Real Help Hotline at 833-533-2428, visit your nearest emergency department or contact 911.

This form should not be used for emergencies and is not monitored 24/7.

If no, you may not be eligible for FSAP services. If you are a student, student employee or graduate student, please contact Counseling and Psychiatric Services (CAPS).
State law requires all counseling clients to be physically present in the state of Colorado at the time of service. If you will not be in Colorado at the time of your appointment, please indicate when you will be or wait to submit this form until you鈥檙e in Colorado.
Please include your preferred name (ex. Ralph 鈥淩alphie鈥� the Buffalo) if it differs from your legal name.
Learn more at: /cisc/pride-office/lgbtq-resources/pronouns
Your IdentiKey helps us verify your identity. If you don鈥檛 know your IdentiKey, put 鈥漊nsure鈥�.
If you would like to receive communications from FSAP at an email not affiliated with CU, please list it here. If you鈥檇 like to be contacted through your CU 麻豆影院 email, leave this area blank.
FSAP is unable to leave messages if your voicemail is full or not set up. Phone settings like 鈥榙o not disturb,鈥� silencing or unknown number blocks may also prevent receiving our calls.
You and your provider may change this for future appointments.
Please tell us in a few short sentences about what you鈥檇 like to discuss with your FSAP counselor.
We will contact you by email unless otherwise instructed. If you do not respond after up to two attempts, you will need to complete this form again. I understand and accept
Is there any additional information you鈥檇 like for us to know?