Request for Mental Health Support

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Challenger Middle School has a variety of resources to assist students including individual and group counseling. Mental health is as important as physical health. To this end, we have partnered with outside community mental health organizations, TURN, UPAC, and YMCA, to support our students mental health and wellness. When using the service from these partners, students will be meeting with trained mental health professionals.

Please fill out this form if you would like to request assistance for your student. We will be making referrals to these organizations based on your student's eligibility and needs.

Thank you!

Ms. Haghi - Last Name A-G, fhaghi@sandi.net
Mrs. Vo - Last Name H-N, avo@sandi.net

Ms. Hosking - Last Name O-Z, shosking@sandi.net

This form is NOT monitored 24 hours/7 days a week and should NOT be used in an emergency.

If this is an emergency where you are concerned about suicide or self-harm, please contact 911 or the National Suicide Prevention Hotline at 988 (call or text).

Email *

Your First Name *

Your Last Name *

Your Email *

Phone Number *

Relationship to Student *

Student's Last Name *

Student's First Name *

Student Grade Level *

6th Grade

7th Grade

8th Grade

ID Number

Please briefly share why you would like to make this referral: *

Is your student currently receiving any mental health services? *

Yes

Does your student have Medi-Cal insurance? *

My student has Medi-Cal

My student does NOT have Medi-Cal

I am interested in individual counseling. *

Yes

I am also interest in group counseling for my student. *

Yes

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