Anonymous E-mail Form

This is our anonymous e-mail form, and is intended to be kept confidential. All personal information included is at your discretion. Responses can only be made if you explicitly provide contact information, so if you'd like us to reply, be sure to include some way for us to contact you.

Disclaimer: This form is not intended to take the place of professional counseling. Should you want/need professional help, please contact the Rice Counseling Center at 713.348.4867.