Application Forms

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Teachers College, Columbia University
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Dean Hope Center for Educational and Psychological Services

Teachers College, Columbia University

Application Forms

Prospective clients are required to fill out an application for services. Applications may be obtained online, by telephone or in person at the Center. 
To obtain an application, see below to download forms. Please download the appropriate application form and consent form. You may also call the Center, Monday through Friday, between 9 a.m. and 5 p.m. at (212) 678-3262 to have an application form mailed to you. The application form may be submitted in person, by mail or by fax. The Center does not accept the application form through e-mail in order to protect the client's confidentiality. Please note that incomplete application forms will not be accepted for services.
Please also note that we charge fees for all services: $40 for all psychotherapy services, $150 per semester for all group services and $1000 for all assessments and reading and writing remediation services. Please review the "services and fees" section for further explanations. 


Informed Written Consent

This form must accompany each application form

All application forms will be reviewed thoroughly to determine the appropriateness for the training purpose of our students. As a training clinic, we may not accept all applications. In this event, we will inform the applicant or the parent/guardian of the applicant immediately and offer alternate resources.
We welcome you to contact the Center directly if you would like to inquiry about your application status.