23-24 Request to Meet with Sage Therapist

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Sage partners with PVHS to provide professional mental health services to students in their academic setting. Our therapists are conveniently located right on campus. All services are free to the student and their parents. With Sage, there are no cost, transportation, or insurance barriers to prevent students from getting the help they need. To request an appointment with our Sage Therapist's please fill out the form below. If this is an emergency, please contact 911 or go to your nearest hospital. You can also reach out to the National Suicide Hotline at 800-273-8255 if you need immediate help. We look forward to meeting with you.

Student's First and Last Name *

Student ID number *

Who is your counselor? *

Ms. Kim Gill, A-C

Ms. Annie Yu, D-H

Mrs. Kristen Nelson, I-Mc

Ms. Kristin Jones, Me-R

Ms. Heidi Shulman, S-Z

I don't know

Have you or the student you are referring ever met with a Sage Therapist? *

Yes, I have met with a Sage Therapist

No, I have not met with a Sage Therapist

Maybe, I cannot remember

Which Sage Therapist are you requesting to see? *

First Available

Brenna Winkle, AMFT

Jennifer Shannon, AMFT

What type of meeting are you requesting? *

Quick check in (Under 20 minutes)

Individual Counseling Session (20-50 minutes)

Crisis Counseling (Emergency)

Parent Consultation

Other:

Who is referring the student for services? *

How can we contact you? *

Text

Phone Call

Please provide best phone number or email to reach you at. *

Please explain your request so we can be fully prepared for our meeting. What should we know? *

Submit

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