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Oklahoma State University
Department of Wellness

America's HEALTHIEST Campus®

Consultation Request Form

Counseling Rates:
Faculty/Staff: $25/session
Students: $15/session

Cancelation Policy: A 24-hour notice is required for cancelation of appointments, or there will be a $15 missed appointment fee. Cancelations must be made during normal business hours and cancelations are accepted by phone only at (405) 744-6927.

Form submission is confidential and goes directly to our Dietitian. No information is stored.

Please choose one:

Please read the Counseling Rates and Cancellation Policy above. You will be contacted within two business days upon submitting this form.  Thank you!

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