School Counseling Referral Form

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Please note that this is NOT a form to receive emergency services. If you need immediate emergency assistance, please call 911. If this is a mental health crisis, please review resources listed on our School Counseling website accessible via the Hawley Elementary School web page or by clicking this link, or copying and pasting the following link into your web browser:

https://sites.google.com/hawley.k12.mn.us/hawley-elementary-counseling/mental-health?authuser=0

We will do our best to respond to all inquires/ responses to this form within 2 school days.

Who is this referral for? *Please provide first AND last name* *

Who is completing this form? *

Parent/Guardian of a current Hawley student

Current Hawley student

Concerned friend/relative of a current Hawley Student

Teacher or other Hawley Staff member

Other:

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