Hornet Care Team (Student & Parent Referral)

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This is a scary time and we want to support each of every one of you to the best of our ability. Please use this form to refer either yourself, a peer, or your student to the behavioral health liaisons. Please answer all of the questions to the best of your ability. We will reach out to connect you with the best possible resource. Thank you!

Anna Kasel- Abilene Elementary & Wheatland Elementary

Courtney Craine- West Elementary & Intermediate School

Kellie Michaud - Valley Center Middle School

Jessica Van Tassell - Valley Center High School

电子邮件地址 *

Please type your name *

Name of the Student you're referring (if not self)

Best way to contact you

What school do you attend? (or person you're referring)

Abilene Elementary School

Wheatland Elementary School

West Elementary School

Intermediate School

Valley Center Middle School

Valley Center High School

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How are you feeling today? (Student) *

Totally overwhelmed with school and all my responsibilities. I need Help!

I'm having some thought about hurting myself

I'm angry and need to talk about it with someone

I'm not motivated to do anything right now

I'm having thoughts about harming someone

Someone is hurting me

I just need someone to check in with me

其他:

Are you experiencing one or more of these emotions? (Student) *

I'm feeling anxious

I'm feeling hopeless/depressed

I'm grieving

I'm feeling isolated

I'm having suicidal thoughts

其他:

How can we best support you right now? (Student) *

I'd really like to have a time to talk to one of the administrators

I'd really like to have a time to talk to my school counselor

I'd really like to talk to someone about my mental health (Anna, Courtney, Kellie, Jessica)

其他:

Any additional information you'd like to share?

IF YOU FEEL you are in Need of IMMEDIATE help please reach out to the following:

-CALL 911 for emergency

-Text CONNECT to 741741 to visit with a trained counselor for 24/7 Crisis Support

-Call 988 for the National Suicide Prevention Lifeline

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