JRHS Guidance and Nurse Appointment
Please fill in the following information to be given an appointment with the nurse, guidance counsellor, or addictions prevention worker.
Sign in to Google to save your progress. Learn more
Email *
Your name *
Your homeroom teacher's name *
Your grade *
Who do you wish to speak to? *
How would you like to receive your appointment confirmation? *
Is it urgent that you speak to someone? If so, please visit the guidance office in person asap and speak to Wendy Robinson (guidance secretary). *
Anything else you want to tell us?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lester B. Pearson School Board. Report Abuse