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AAA/ESA Evaluation
Consultation Scheduling Form

Let's get you the access you need to thrive this semester and beyond. Complete the form below and you'll be redirected to our calendar to choose a time for your 30-minute consultation.


➡️ Prefer to skip the phone call? 📲 Click here to fill out our self-service consultation questionnaire, and we'll reach out via email within 48 business hours to confirm your appointment.

Birthday
Month
Day
Year
What gender identity best describes you?
Female
Male
Non-binary/gender diverse
Prefer not to say
Other
What pronouns should we use when referring to you?
She/Her
He/Him
They/Them
Xe/Xem (Zay/Zim)
Ze/Zir
Use my name only
Other
Where are you currently living?
On-campus housing
Off-campus housing
Multi-line address
Which process are you hoping to learn more about during this consultation?
Academic Accommodation Assessment (AAA)
Emotional Support Animal (ESA) Evaluation
Both AAA & ESA
Not sure; I'm hoping to learn what might be appropriate for my needs

Academic Accommodation Assessments and Emotional Support Animal (ESA) Evaluations are out-of-pocket services and are not billed to insurance. Fees range from $350-950, depending on the type of evaluation and documentation needed. Specific pricing will be reviewed during your consultation.

How did you hear about the Trauma-Informed Campus Collective/Care Beyond Campus?
A campus office (like advocacy, counseling, student support)
A professor, academic/student organization advisor, or coach
An IOP, PHP, or psychiatric program
A college success or scholarship program
A friend or peer
A family member
Psychology Today
Social media
Online search
Other
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