Forms


Frequently Used Forms

There are three options to completing a CAPS form.

 

FIRST OPTION:

Click http://bit.ly/CAPS-FORMS

 

SECOND OPTION: Qualtrics Forms

This section contains links to an online Qualtrics form. Please submit 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.

CAPS Appeals Form

CAPS Group Therapy Consent Form – Fall 2020

CAPS Supervisory Disclosure & Consent Form – Fall 2020

EDMT Informed Consent

CAPS Intake Packet

CAPS Record Request Form

CAPS Release of Information Form

CAPS Single Session Packet

CAPS Telemental Health Services Informed Consent Form

CAPS Text Message Notification Informed Consent

CAPS Triage Packet

CCAPS-34

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

Psychological Well Being

Workshop Registration

 

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

Text Consent Fall 2020

Bay Care Billing Form and ROI

Release-of-Information-ROI-March 2020

CAPS Record Request Form

Form D – Academic Services

Minor IA Packet – Fall 2020

Parent/Guardian Consent for Counseling

CAPS TAO Treatment Informed Consent

Consent of Supervisory Disclosure/Recording and Live Supervision

UCF CAPS Intake Packet Fall 2020

UCF CAPS Intake Packet Fall 2020 – Version B

CCAPS 34 Fall 2020

CCAPS 62 Fall 2020

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-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.

Please use the following Qualtrics link: http://bit.ly/CAPS-Upload