Middle College Counseling Referral Form 2023-2024

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If you're a student, parent/guardian of a student, or staff member and would like to talk to a counselor, please complete this form.

Si es un estudiante, padre / tutor de un estudiante o miembro del personal y quieres hablar con un consejera, favor de completar esta forma.

If this is an EMERGENCY and you do not have immediate access to a counselor, please speak to a trusted adult ASAP, call 911, or call the Suicide Prevention Lifeline: 1.800.273.8255.

Si se trata de una EMERGENCIA y no tiene acceso inmediato a un consejero, hable con un adulto de confianza lo antes posible, llame al 911, o llame a la Línea de Prevención del Suicidio: 1.800.273.8255.

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