Counseling information and request form

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KCAI has on-campus counseling services available to students free of charge. The appointments are weekly, but are limited and available on a first come, first served basis and are available during the fall and spring semesters (when college is in session). Please note that KCAI counseling services are therapy services and not medication management.  

You also have the option of meeting with Gina Golba, Dean of Student Affairs, or Joe Timson, Assistant Dean of Students, for immediate assistance. The counselors are for ongoing support, but the Dean and Assistant Dean are available for crisis or distress situations where you feel like you need to talk to someone right away. Gina may be reached at 816-802-3397 and Joe can be reached at 816-802-3419. You may also contact security at 816-931-6666 or 911 for emergency situations.

If you wish to see a mental health professional off-campus, please review information about local practitioners under "Student Resources" located

To request an on-going appointment with a counselor on campus, please complete and submit the following information.

*Due to logistical realities, Dean Golba and Assistant Dean Timson help respond to the requests for counseling by facilitating a connection with students requesting services both on campus (the counseling center) and off campus (the SAP service).  Once you begin seeing your counselor, you have a medical relationship with that counselor and your privacy is guarded by HIPPA and/or FERPA laws thereon.  

Enter your number with the area code e.g., "(555) 555-5555"
Times Available
Please check days and times that you're availble to meet with someone.
If yes, please list the counselor’s name below.
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