Fall 2023 Escondido Counseling Sessions
Fall Counseling Sessions
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Student Name *
Grade *
Teacher *
Small Group Topics (Choose all that apply) *Parents must sign consent form for group sessions. *
Required
Individual Concerns *
Required
Please let us know if your student needs additional support in an area not listed here.
JISD Elementary Confidentiality Statement    
What information needs to be told to parents and/or school officials?  SITUATIONS INVOLVING:  
Harm to Yourself 
Harm to Other People
Behaviors Beyond Your Age
Safety at School
Information requested by a  valid subpoena (Court System)  
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