Parent/Student Counseling Referral Form

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If you're a student (or parent/guardian of a student) and would like to talk to counselor, you can use this form to let me know a little about what is going on and I'll get a hold of you.

Si es estudiante (o padre/tutor de un estudiante) y desea hablar con un consejero, puede usar este formulario para informarme un poco sobre lo que está sucediendo y me comunicaré con usted.

Please note (Tenga en cuenta)

If this is an EMERGENCY and you do not have immediate access to a counselor, please speak to a trusted adult ASAP, call 911, or call the Suicide Prevention Lifeline: 988

Si se trata de una EMERGENCIA y no tiene acceso inmediato a un consejero, hable con un adulto de confianza lo antes posible, llame al 911, o llame a la Línea de Prevención del Suicidio: 988

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