Parent/Caregiver Virtual Referral
Thank you for reaching out so I can help support your student.

IF THIS IS AN EMERGENCY and your child or a child you know is in immediate danger to themselves or others call  911 or take them to the emergency room immediately. If you are worried about the safety or possible abuse of a child contact our local Department of Social Services at 410-713-3900 or click this link below for Wicomico County Dept. of Social Service website:
http://www.chamberdata.net/webforms/wicomico-county-dept-of-social%20services__1_685_5007861_memberprofile.aspx?dbid2=mdsal

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Grade level of child/children: *
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Teacher Name: *
Student Name: *
Names of siblings? *
Your Name: *
Best Phone Number (please enter (xxx) xxx-xxxx) *
What are your concerns? *
I need help: *
Required
Could you please... *
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Learn more about school counseling:
School Counselor Information
Thank you for reaching out to your school counselor. Be aware that I do not check email except during my virtual school hours 8:00 a.m. - 3:30 p.m.  If this is a crisis or emergency call 911 or go to your local emergency room.

School Counselors differ from mental health counselors in that we provide systemic support through a multidimensional intervention, not just 1:1. School counselors provide individual, group, and classroom counseling sessions on short term and solution-focused basis. Mental Health Counselors provide individual counseling sessions and function as long term therapy.

Limitations of virtual school counseling include, but are not limited to, confidentiality, access, and availability.
Confidentiality- Information students share with the school counselor is confidential, but there will be another adult present on the zoom or google meets video sessions. The student’s right to privacy is guarded as much as permitted by law, ethics, and school policy. The school counselor is obligated to break confidentiality when there is potential harm to the student or others, concern of neglect or abuse, or a court of law that requires testimony or student records.

At times, the counselor and school-based staff (teacher, social worker, school psychologist, principal, etc.) will need to exchange information about your child (how are they coping in class, strategies to help, etc.) All communication will take place only on a need-to-know basis.

E-mail transmissions may contain confidential health information that is privileged and legally protected from disclosure by the Health Insurance Portability and Accountability Act (HIPAA).  This information is intended only for the use of the individual or entity named in the email.  If you are not the intended recipient, you are hereby notified that reading, disseminating, disclosing, distributing, copying, acting upon or otherwise using the information contained in this e-mail is strictly prohibited.


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