Request to Remote Visit Mrs. Buce, School Counselor
If this is an EMERGENCY, please call 911 or your medical provider. Do not submit this form!

Things to remember when requesting an appointment:

*All communications, email, phone or video conference(ZOOM), with students will include the parent.
*Parents must have read the Zoom/Phone Communication Agreement and Terms.
*A parent phone number and email address must be included in the request.
*Emails and calls will be returned on school days and during regular school hours.
*If this is an EMERGENCY, please call 911 or your medical provider. Do not submit a form or email!
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Email *
Parent Phone Number *
If requesting a phone call or video conference (Zoom), what is the best time of day to call or Zoom? NOTE: phone calls will be coming from a private or blocked number. *
By checking yes and writing my name below, I agree that I am the legal guardian of the student I am requesting a remote visit for and that I have read and understand the Zoom/Phone Communication Agreement and Terms. Click on Link to Read:    https://drive.google.com/file/d/1tje1tit-RQ7gwEOjHvITebfW11zQdjlS/view?usp=sharing *
Parent's Full Name and Today's Date: *
Student's First and Last Name *
Student's Grade *
Request related to: *
Briefly describe the reason you would like to see the counselor. This allows me to look into your concern before we meet or to quickly email an answer to your question or concern, if appropriate. *
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