Request to see my School Counselor
Hello from Ms. Tucker (letters A-K) and Ms. Farmer (letters L-Z)!

This form is OPTIONAL and to be used when students want to check in with their counselor.

***This form should NOT be used for emergencies.***
If this is an EMERGENCY (you fear yourself or someone else is in immediate danger of harm) please call one of the following agencies.

Dial 911 if you need help immediately
Woodstock police department: 540-459-2141
Shenandoah County Sheriff's office: 540-459-6100

Local Concern Hotline: 540-459-4742
Suicide Hotline: 1-800-273-8255
Crisis Text Line: Text HOME to 741741***

Answers to the following questions are completely confidential (private) and will only be seen by a School Counselor. Please make sure you click "submit" when you finish filling out the form.

We look forward to hearing from you!
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LAST Name *
FIRST Name *
Grade *
What can we help you with? *
Is there anything else you'd like to share with us? *
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