Request Wellness Coaching - Counseling Center

If you feel that you need immediate assistance, please contact Colorado Crisis Services at 1-844-493-8255 or text TALK to 38255. Outside of Colorado, call or text 988. For life threatening emergencies, please dial 911.

*Required Field

Name*

First Last

Preferred Name

Mines Email Address Required (others go to junk mail)*

Enter Email Confirm Email

CWID*

Phone #*

Please include some details about the specific wellness area you’d like to focus on.*

How did you hear about Wellness Coaching at Mines?*

What department referred you to Wellness Coaching?

The Counseling Center
The Dental Clinic
The Student Health Center
Student Outreach and Support

Please tell us who referred you (e.g., counselor's name, SOS staff, faculty, workshop title).

Availability (phone)

To schedule your initial 15-minute phone consultation with a Mines Wellness Coach, please provide your availability on Tuesdays, Wednesdays, and Thursdays (MST). This call will help identify your wellness needs, and subsequent coaching sessions will be conducted via Zoom. We'll confirm your appointment time by email.

Availability (Zoom)

To schedule your initial 45-minute initial Zoom consultation with a Mines wellness coach, please provide your availability on Tuesdays, Wednesdays, and Thursdays (MST). We'll confirm your appointment time by email.

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