Fill out this form to be referred to the school counselor.  Your confidentiality as a student is important to us! In our school counseling office, what is said here, stays here, with the following exceptions, as required by law and/or ethical standards: harm to self or others, abuse or neglect, and/or court or other legal proceedings. If there is ever a need to reveal information, we will let you know in advance, and work with you to handle the situation in a way that respects you, your feelings, and your needs. The counselor will receive an email notification after every submission, but email is not checked regularly after school hours. If you are 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.