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Document Request Form

Welcome to Seoul Counseling Center’s Document Request & Agreement Form.

Clients (or legal guardians) may use this form to request documents related to their services. We will review your request and contact you if any additional information is needed.

Please note:

- Approval: Submitting this form does not guarantee a document can be offered; all requests are subject to Center approval and policies.

- Payment: Payment is required before document delivery or pick-up.

- Processing Time: Most requests are processed within 5–10 business days, though timelines may vary based on the request and other constraints.

- Insurance: Document fees are not covered by insurance and must be paid out-of-pocket.

- Multiple Requests: To request multiple document types, please submit a separate form for each request.

Thank you for your cooperation and understanding.

Client's First Name

Client's Last Name

Client's Date of Birth (Month & Day)

Example: November 24 (Used to distinguish clients with the same name)

Client's Registered Center

Sinsa Office

Pyeongtaek Office

Unsure / Don't Know

Counselor Name

Please enter the name of the counselor you are requesting a document from.
(If you don't know the name of your counselor, please visit our Website, or contact our Front Desk