Parent Referral for School Counseling
Individual/Small Group Counselling is a process of talking about and working through personal problems with a school counselor. The counselor helps address problems in a positive way by helping clarify the issues, explore options, develop strategies and increase self-awareness.
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Email *
Student Name: *
Date: *
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Teacher: *
Parent Name: *
Phone Number: *
Reason (s) for Referral:   *
Required
Description of Concerns:  Please give details of the behaviors. *
Interventions used at home:  What are things you do to address the behavior.   *
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