2020 MMS Counselor Appointment Request
FILL OUT THIS FORM ONLY IF YOU ARE REQUESTING AN APPOINTMENT WITH YOUR COUNSELOR.  Counselors are available to check-in via GOOGLE HANGOUTS or EMAIL. If this is a mental health EMERGENCY,  please contact 911 or the National Suicide Prevention Lifeline at 1-800-273-8255. You can also join us on Google Classroom using Classcode: sevxbdw
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Email *
I have not joined the MMS Counseling Google Classroom.  I am adding my name below to request that you add me to the classroom.
First Name *
Last Name *
Grade Level *
Email Address *
Who is your School Counselor *
What appointment time slot would you prefer?       Note:  Due to previously created appointments, counselors may provide you with the next available  appointment.  Also, a Google Hangout invite will be sent to you to confirm an appointment).  AGAIN, FILL OUT THIS FORM ONLY IF YOU ARE REQUESTING AN APPOINTMENT WITH YOUR COUNSELOR.
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How urgent is your request to meet with a counselor? *
How did you sleep last night? *
I did not sleep at all last night
I had a great night of sleep last night
I ate dinner last night? *
How are you today? *
Anything else you want to tell us?
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