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HMS Counselor Contact Form
Please complete the form and one of our counselors will contact you as soon as possible.
**If this is a true emergency please dial 911 or the GA Crisis and Access Line at 1-800-715-4225**
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Email
*
Your email
Student Name (First, Last)
*
Your answer
Grade
*
6th
7th
8th
Parent/Guardian Name (First, Last)
Your answer
Contact Method (Phone or Email) Please provide the number or email address.
*
Your answer
Reason for request
*
Your answer
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