Counseling Request Form 2020-2021
Hello Knights!

We are very proud of you for reaching out to talk to us because we are here for you!  Please complete the questions below so that we can get a better understanding of what's going on and how we can best support you. Our office hours are from 7:30 am to 3:00pm, Monday through Friday.  

* If this is an emergency or you're not feeling safe, please let a trusted adult know right away or call 911. If you need immediate help during non-school hours, please use the following numbers:

1) Crisis Text Line: text the word "HELLO" to 741741
2) Call the National Suicide Prevention Hotline at 1(800) 273-8255
3) Chat with a trained professional at  https://suicidepreventionlifeline.org/chat/
4) Call the TEENLINE at (310) 855-4673  from 6pm-10pm or text 839863 from 6pm-9pm
5) Access more support from TEENLINE at https://teenlineonline.org/
6) Trevor Project Lifeline (Available 24/7; Confidential Suicide Hotline for LGBTQ Youth): 866-488-7386


* Required
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Email *
First & Last Name *
Date *
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Grade *
I need help with: *
REMEMBER: If this is an emergency or you're not feeling safe, please let a trusted adult know right away or call 911.  I will check this form daily (Monday through Friday), but it may take 24-48 hours (1 to 2 school days) to respond.  **WEEKENDS ARE NOT INCLUDED** *
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