LHS Counseling Office Support Request Form
IF THIS IS AN EMERGENCY PLEASE CALL 911 AS OUR FORMS ARE NOT CONTINUALLY MONITORED. IF YOU ARE IN A MENTAL HEALTH CRISIS PLEASE CALL 988 AS OUR FORMS ARE NOT CONTINUALLY MONITORED. IF THIS IS REGARDING AN ISSUE WITH OTHER STUDENTS, AN ISSUE IN CLASS, OR AN ISSUE ON CAMPUS PLEASE COME SEE A COUNSELOR OR ADMINISTRATOR RIGHT AWAY. 

If you need to be seen by a counselor for anything else, please fill out and submit this form. We will check the form 1-2 times a week during our work hours (Monday-Friday from 7:45-3:30), with the exception of Holiday's. We will not be monitoring Requests during Holiday's. A counselor or the registrar will call you as soon as possible to discuss your inquiry. 
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Student First and Last Name *
Student Current Grade Level
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If you're a Parent/Guardian, please type your name below as well
Phone number *
Did you read the description of this form in full? It needs to be read before continuing to fill this out. Follow the instructions in the description as stated. *
If you said no, please read it before continuing. *
What do you need to talk to the Counseling office about? *
If you chose "Other", please explain. *
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