Hillcrest Counselor Conversation Sign-Up
Any Hillcrest student, parent or staff is welcome to fill out this form. This form is confidential and will only be seen by school counselor, Halina Radosz. I will do my best to contact you within 24 - 48 hours of receiving your completed form (by Monday or Tuesday if you submit on a Friday).

NOTE: I am available during school hours 8:30am - 3:30pm, Mon-Fri only. If you or a family member is feeling unsafe or otherwise needs help right away, Crisis Services is available 24/7 at 413-774-5411 or call 911.
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メールアドレス *
Student First and Last Name *
Name of Person Completing this Form *
Relationship to Student *
Teacher and Grade *
How urgent is your concern? I will do my best to respond within the time frame indicated. (Please note that this form should only be used if your concern does not require an immediate response. For emergencies call Crisis at 413-774-5411 or call 911. If not a mental health crisis you may also call my phone at 413-863-7399 or email halina.radosz@gmrsd.org ) *
What is the best way to reach you to set up a day/time? Please provide either a phone number or a personal email address. *
How would you like to have the counselor chat? *
Tell me a little about your or your child's needs (optional)
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Is there anything else you would like to share about your or your child's needs?
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