Request for Counseling Services Wednesday, May 20, 2020
If this is an emergency please call 911. If you feel that you or someone you know is experiencing a crisis you can text Text KY to 741-741 for free, 24/7 crisis counseling.

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Email *
Student First Name: *
Student Last Name: *
Contact Number for Appointment Scheduling: *
Grade Level *
Type of Counseling Session Requested: *
A copy of your responses will be emailed to the address you provided.
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