Request to Meet With Wellness Counselor 23-24
RUHS provides professional mental health services to students in their academic setting.  Our therapist and counseling interns are conveniently located right on campus.  All services are free to the student and their parents.  To request an appointment with a Wellness Center Counselor, please fill out the form below.  We have significantly less staff than last school year, so please be prepared to wait one-two weeks for your appointment.  A blue slip will be sent to your class with the designated time.  If you need to miss the appointment, please email us immediately so we can schedule someone else in that spot.  If this is a mental health crisis, please contact 988 or go to your nearest hospital. If you or someone you know is in danger, please call 9-1-1. We look forward to meeting with you.
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Email *
Student Last Name *
Student First Name *
Grade Level of Student
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Who is the student's School Counselor? *
Have you or the student you are referring ever met with a Wellness Center Counselor? *
Which Wellness Center Counselor would you like to see? *
What type of meeting are you requesting? *
Who is referring the student for services?   *
What time frame would be best? *
How would you prefer we contact the student for the appointment?   *
Required
Please provide best phone number or email to reach you at:   *
Please explain your request so we can be fully prepared for our meeting. What should we know? *
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