Parent/Guardian Counseling Referral Form & Permission Slip   
This referral form is for parents and guardians of Marian Bergeson Elementary and Concordia Elementary School students who would like for their child to meet with the school counselor, Rachel Sanchez, during the 2024-2025 school year. If we have not previously been in communication, I will contact you within 3 school days after receiving this completed form to discuss your concerns. 
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I understand that the school counselor may not receive this request immediately. If this is a medical/mental health EMERGENCY, please contact emergency services at 9-1-1, go to your nearest hospital emergency room, or call the Suicide Prevention Lifeline : 1.800.273.8255.
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