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Mental Health Optional Disclosure

The State of Illinois offers all college students the opportunity to identify any adult individual(s) who would be notified in the event that you experience a mental health emergency that puts you or others in danger of harm. You are not required to designate a contact. Should you choose to designate someone, it can be anyone over the age of 18 (a parent, relative, sibling, family friend, etc.)

If you would like to designate a contact, complete the Mental Health Optional Disclosure form and submit it to the Registrar and Records department in person, via fax, or via email as indicated on the form.

You can change your mind about who you designate as your contact, or about having a contact at all, at any time. Simply complete a new form and submit it to the Registrar and Records department.