Outreach Request Form

Please complete the form below to secure a workshop or presentation on various mental health topics. Requests for outreach events can only be made by an UH affiliate; event location must be on the University of Houston main or Sugar Land campus. You may also email Dr. Tina Liu-Tom at tliutom@Central.UH.EDUPlease give at least a two week notice prior to a scheduled event.

Note: Due to volume of clinical responsibilities, CAPS may not be able to commit to all requests; however all requestors will receive a response.

UH Main Department
UH Main Student Organization
UH Student Employee
UH Main Individual (staff/faculty/student)
UH Sugar Land Department
UH Sugar Land Individual (staff/faculty/student) Sexual/Physical Assault
Stress Management
Relationship Issues
Eating Issues/Disorders
Gender Issues
Diversity Issues
Substance Use/Abuse
Conflict Management
Suicidality (QPR training)
Self Harm
Helping Students of Concern
Other (please specify below)
Faculty / Staff

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