Student Health & Wellness Appointment Scheduler Form

The Student Affairs Division is here to help you manage conflicts, stress, and the many challenges connected to being in college through our Health and Wellness Division, as well as through other targeted resources in Student Affairs. If you are an undergraduate, graduate, law student or recent alum, please complete the following form and e-mail it to us so that we can help you receive the services that most meet your needs. Your information will remain confidential. We appreciate your confidence and trust!

IF YOU ARE A ST.THOMAS UNIVERSITY STUDENT SEEKING AN APPOINTMENT WITH NELLIE BAEZ, RN OR JOSIE ORAMAS, LMHC OR YOU WANT OTHER HEALTH SERVICES, COMPLETE THIS FORM. You will hear back from us in approximately 48 to 72 hours with appointment times and information.

STUDENT CONTACT INFORMATION













APPOINTMENT INFORMATION









HOW SOON DO YOU WANT TO BE SEEN FOR YOUR CONCERN?
WHO AND WHERE WERE YOU LAST TREATED FOR YOUR CONCERN?

REMEMBER IF THIS IS A LIFE THREATENING EMERGENCY, YOU SHOULD IMMEDIATELY CALL 911 OR GO TO THE CLOSEST EMERGENCY ROOM






















BRIEFLY, WHAT RECENT PROBLEMS HAVE YOU HAD THAT LEAD YOU TO ASK FOR HELP?
HAVE YOU HAD THESE OR SIMILAR ISSUES IN THE PAST?
APPOINTMENT AVAILABILITY INFORMATION