Rock Point High School Counseling  Student  Intake form 2022-2023
Welcome to 2022-23, my name is Kevin Martin and I am your Traditional School Counselor.  Its important to our school that your Social Emotional, Academic, and Career mindset needs are healthy and strong. I am your advocate throughout the year and will be available if you need help, just ask. (928) 659- 4197   Kevin.Martin@rpcsaz.org

All secondary students need to fill out this confidential counseling intake form. Each student has an individual file and no one else can see it, or has access to this information other than me.

Confidentiality Statement: All Information students share with the Counselor is confidential. The student's right to privacy is guarded as much as permitted by the law. All meetings / information held with the Counselor will remain confidential unless permission is given to share information with designated parties.

 Professional School Counselors,  follow FERPA guidelines and the American School Counseling Ethics and Legal recommendations.  The care of personal information disclosed (including this form), between ourselves and students,will remain confidential except in the following cases:

    If the student presents  danger to him or herself.
    If the student presents danger to others.
    If the student has been abused by others, and/or if required to do so by court order.
    If the student gives permission for the information to be shared.

All school staff are mandated reporters, and are bound by Federal and State law. School Counselors may break confidentiality in the situations mentioned above and may do so to protect our students in order to remain legally and ethically true to our profession.  

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