2022-23 Counselor Request Form
Hello RVS- 7th & 8th graders- Fill out this form & let us know how we can help you! 
School Counseling office hours are M-F 8am-4pm.  

REMEMBER: If you're in an emergency, crisis or you're not feeling safe, please let a trusted adult know right away, call 911 or call or text 988 for the National Suicide Prevention Lifeline or Click here for 24/7 live online counseling.   
Requests may take up to 2 to 3 school days for School Counselors to respond.  
**Weekends/Holidays/Breaks are not included in response time***

Mental Health Concern?  

If you would like to refer the student to SAP services (mental health therapeutic counseling), please complete a referral form link below. For urgent matters, complete a RAPID referral and for non-urgent matters complete a GENERAL referral form.
SAP counseling referral form (GENERAL)

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Email *
Your Grade *
FIRST NAME *
LAST NAME *
Student ID# *
Your phone number *
I would like to be contacted by...
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Check-in!  How are you feeling today? *
What would you like help with? *
Required
I want to talk to a counselor...
Clear selection
Which Counselor are you requesting?
Clear selection
If this is a life threatening or mental health emergency, please call 911 if needed or use these support #'s below.  
YOU ARE NOT ALONE!
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