Forms
Frequently Used Forms
There are three options to completing a CAPS form.
FIRST OPTION: VPN
Click Accessing CAPS Forms via VPN – Virtual Private Network for instructions
SECOND OPTION: Qualtrics Forms
This section contains links to an online Qualtrics form. Please submit your forms during CAPS business hours (Monday-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.
CAPS Extended Services Program during Covid-19 Consent & Enrollment Form
CAPS Group Therapy Consent Form – Summer 2020
CAPS Group Supervisory Disclosure & Consent Form – Summer 2020
CAPS Release of Information Form
CAPS Telemental Health Services Informed Consent Form
CAPS Text Message Notification Informed Consent
THIRD OPTION: PDFs
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.
Appeals-form No-Show-Fee-March 2020
Downtown Valencia – Bay Care Billing Form
Release-of-Information-ROI-March 2020
Parent-Guardian-Consent-March 2020
Supervisory Disclosure Form March 2020
Quick Student Guide to No-Show/Late Cancellation/Reschedule Fee Policy
CAPS Informed Consent – March 2020
Supervisory Disclosure Group Therapy Consent
Telemental Health Informed Consent March 2020
Extended Services Program during Covid-19
Link to Submit Your Completed Form(s) to CAPS:
Instructions on Submitting UCF CAPS Forms using Qualtrics
Only drop your forms during CAPS business hours (Monday-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.
Please use the following Qualtrics link: http://ucf.qualtrics.com/jfe/form/SV_7V5BmKPjE0LuqkB