Counselor Contact Request Form

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Please use this form to request an appointment with a member of the Guidance Department Staff. Staff is also available through e-mail or phone. That information is available on the Guidance Department website home page.

These requests will be handed as quickly as possible Monday - Friday 9am - 11am and 1pm- 3pm. If you need immediate mental health assistance, please do not complete the below form, instead call 911 for assistance.

Guidance Department staff member you would like to have contact you: *

Your Name: *

The Phone Number where you can be reached:

The Email where you can be reached:

Preferred Method of Contact

Phone

Clear selection

Nature of your question or concern:

Submit

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