Statement of Solidarity

We at CAPS stand in solidarity with all members of our Asian community against any form of xenophobia, oppression, and racism. We write to affirm our support for the dignity of all our Asian community members.  CAPS is with you and stands alongside you.  We share a collective responsibility to speak out against racism and social injustice that aims at dividing our communities. We are committed to speaking up, listening, and providing confidential support for all our Asian community members and allies to foster empowerment and resilience.  We want to invite anyone who is being impacted by this or other challenging current events to come to CAPS for support,  or to use our after hours hotline/ crisis line for support at 407-823-2811 (press 5 afterhours).

 

FORMS


If you are new to UCF CAPS, please call us first at 407-823-2811 to schedule an appointment and to obtain instructions about which forms to complete.

To access our online forms, please click on this link: http://bit.ly/CAPS-FORMS

Submit an ID

 

For Ongoing Clients:

Submit CCAPS-34  (Need CCAPS password, click here or call CAPS at 407-823-2811)

 

In the event of technical difficulties for the above items, please use this link to submit your information: Qualtrics Forms

 

FREQUENTLY USED FORMS:

CAPS Appeals Form

CAPS Records Request or RECORD REQUEST – PDF version

CAPS Release of Information Form or ROI – PDF version

CAPS Telemental Health Services Informed Consent Form

CAPS Informed Consent for In-Person Services during COVID-19

Psychological Well Being

PDFs 

Instructions on Submitting UCF CAPS Forms using Qualtrics

To submit one of the forms below electronically, please 1) download the form, 2) open in Adobe Reader (not in the web browser), 3) complete all the items, and 4) sign the form digitally. Then 5) Save the document to your device, and 6) upload the completed document into the Qualtrics link found at the bottom of the page.

Bay Care Billing Form and ROI

Form D – Academic Services

CAPS TAO Treatment Informed Consent

Parental Consent Spring 2021

UCF CAPS Minor Intake Packet-Spring 2021

 

To submit documents or PDF Forms to CAPS, please use the following link: http://bit.ly/CAPS-Upload

 

Only drop your forms during CAPS business hours (Monday-Thursday 8:00 am to 5:15 pm and Friday 8:00 am to 4:30 pm).  There will not be a therapist available to review documents outside normal work hours.  If you need immediate assistance call CAPS at 407-823-2811 during regular business hours, press 5 after hours, or if this is a life threatening emergency call 911 or go to your local hospital.  Please note that Qualtrics is not a secure form of transmitting confidential information.