WES School Counselor Referral
The counselor will receive an email notification after every submission, but email is not checked regularly after school hours. If someone is experiencing a mental health emergency, please call Daymark Recovery's 24-Hour Crisis Hotline at 866-275-9552, the National Suicide Prevention Lifeline at 800-273-8255, or 911.
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Email *
Name of student being referred *
Grade of student being referred * *
Person submitting referral *
Relationship to the person being referred *
Please check all that apply regarding this student: *
Required
Tell me more about your concern: *
When does this student need to be seen (size of problem)? *
Are Parents/Guardians aware of referral?
 *
Are parents/guardians aware of concern?
 *
If this is a teacher referral, please indicate the times that would be best for this child to see Mrs. Minick
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