We Are Here For YOU!
WE ARE HERE FOR YOU! Please complete this form to request to see your School Counselor.  You will be contacted within 24 hours, unless it is an EMERGENCY. Please let us know how we can help YOU!
Note:  Our conversations will stay between you and your counselor, unless one of the following occurs: someone is hurting you, you are hurting someone else or you want to hurt yourself. These concerns need to be reported to keep you and others safe.

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Student Full Name *
What is your cell number? *
Right now, I am feeling? (all that applies) *
Required
My counselor is *
The reason I need to see my counselor is: *
What's the best way to reach you concerning your need to see your counselor?
*
Please briefly share your concerns so we are prepared when we contact you *
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