Student Wellness Services

Queen's University
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Student Wellness Services

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Consent for Exchange of Information

At the time of initial registration with Queen's Student Accessibility Services (QSAS) and for each subsequent registration, students will be asked to consent to the sharing of information as described in the QSAS Confidentiality Statement.  QSAS seeks consent to share information on an as-needed basis within Student Wellness Services and with others at Queen's University to ensure effective service provision and to facilitate implementation of approved academic accommodations.

QSAS Consent Form (Word, 24KB)

QSAS Consent Form (PDF, 57KB)