Referral for Counseling Interventions
Please complete this form if you would like the School Counselor, Mrs. Engebretson, to meet with your child individually. Mrs. Engebretson will contact you after the individual appointment occurs. Mrs. Engebretson can be reached by phone at 717-361-0099 ext. 50580 or email at meredith_engebretson@etownschools.org.

This form SHOULD NOT be used for concerns about abuse, self harm, or suicide ideation.  For those situations call any of the following:

Safe to Say: 1-844-723-2729; www.safe2saypa.org; use the Safe2Say mobile app
Police: 911
Crisis Intervention: 717-394-2631
National Suicide Prevention Lifeline: 1-800-273-8255, https://suicidepreventionlifeline.org/
Crisis Text Line: Text HOME to 741741, https://www.crisistextline.org/
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Building Name
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Student Name
Teacher Name
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