UACOM Asylum Clinic Client Intake Form
The Southern Arizona Asylum CUP Clinic is a medical student-run program at the University of Arizona College of Medicine - Tucson. Our clinic maintains a network of physicians, advanced practitioners, social workers, and clinical psychologists trained in forensic/psychologic evaluation and affidavit writing for asylum seekers. We attempt to accommodate all requests, so please be detailed and clear in your responses to best help us meet your needs. 

If there is a provider available to take your case, you and/or the client will receive contact for next steps. Please be aware that our Asylum Clinic is associated with a teaching hospital and, in an effort to provide experience to future evaluators, trainees will be present to shadow or scribe for the evaluation. 

Questions, concerns, or additional information can be emailed to us at ua.asylum.clinic@gmail.com

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