SMHS Counseling Meeting Form
Hello Titans!  We want to make sure you have access to your counselors during this difficult time. Please use this google form in the event you want to reach out to your counselor to answer any questions/concerns you may have. PLEASE USE SCHEDULE CHANGE FORM FOR ALL SCHEDULE CHANGES.

This form is for non-emergencies only.

If someone is or might be hurting you OR you feel like hurting yourself OR you feel like hurting someone tell an adult right away so they can help you!  If you know someone who might be in danger, tell an adult!

National Suicide Prevention Hotline --- 1.800.273.8255
Central Crisis & Suicide Prevention Hotline --- 1.888.506.5991
Crisis Text Line --- Text HOME to 741741

Please understand that confidentiality cannot be guaranteed in virtual meetings. SMHS counselors will make every effort to ensure a confidential conversation, and as always, if there is a concern that you may harm yourself or others, or that someone is causing you significant harm, the appropriate persons will be contacted.
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Email *
First Name (legal) *
Last Name *
ID# (5 digits)
Current Grade *
Counselor? *
How would you like me to contact you? Some requests will automatically be handled through email. *
What topic would you like to discuss? *
必填
Explain the purpose of the meeting. *
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