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 Appeals Form

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 Intake Packet

CAPS Release of Information Form

CAPS Single Session Packet

CAPS Telemental Health Services Informed Consent Form

CAPS Text Message Notification Informed Consent

CCAPS-34

 

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

Downtown Valencia – Bay Care Billing Form

Release-of-Information-ROI-March 2020

Form D – Academic Services

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

Group Therapy Consent

Supervisory Disclosure Group Therapy Consent

Telemental Health Informed Consent March 2020

Extended Services Program during Covid-19

Single Session Packet

CAPS Intake Packet

Minor Intake Packet

CCAPS-62

CCAPS-34

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