Parent/Guardian Counseling Referral Form

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Parent/Guardian Counseling Referral Form

This referral form is for parents and guardians of Marian Bergeson Elementary and Concordia Elementary School students who would like support from the school counselor, Rachel Sanchez, during the 2023-2024 school year. If you have not been in contact with me prior to completing this form, I will contact you as soon as possible after receiving this completed form.

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Email *

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I understand that the school counselor may not receive this request immediately. If this is a medical/mental health EMERGENCY, please contact emergency services at 9-1-1. *

I agree and understand.

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