CMHS Individual Student Counseling Request Form (2023-2024)

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*If you have an immediate emergency, please stop what you are doing and call 9-1-1.*

THIS FORM WILL NOT BE REVIEWED 24 HOURS A DAY. If you need support outside of school hours, please refer to the Community Services folder in the School Counseling Resources Group on Schoology. If you haven't already joined the School Counseling Resources Group, the code is DB7QW-K4WWP.

Please complete the form to request a meeting with your counselor. We will be in touch accordingly, upon receipt of your request with the details of when your meeting will occur. * Crisis situations will be prioritized.

Your counselor will contact you via Smart Pass for a day/time that is convenient for her. Thank you for your patience!

Please note: If you would like a schedule change, please use the Schedule Change Request Form.

Student First Name *

Student Last Name *

Student Grade *

Select your School Counselor *

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