CPLA Teacher Counseling Referral
Hello! Thank you so much for being willing to reach out and fill out this referral. We know that the word "counseling" may mean different things to people, but we wanted you to feel like we are a safe place to be you. Balancing teaching and life is hard. We are here to support you. At your earliest convenience, please complete the following questions and we will reach out. 

Please note that counseling services are completely confidential and will not be shared with your place of employment. Four (4) FREE sessions will be offered with a trained and highly qualified counselor who can offer you space to just "be." We can also provide referrals to outside counselors upon request.

Our highly skilled and trained counselor will reach out to you with your preferred method of contact to discuss our services and answer any questions you may have.

You can always direct any questions you may have to teachers@counselingpartnersofla.org.

ABOUT CPLA:
Counseling Partners of Los Angeles (CPLA) is dedicated to improving the lives of students attending schools in underserved areas of Los Angeles. Our team of highly committed and compassionate counselors provides school-based counseling services at Los Angeles schools for elementary and high school students throughout the school year. We also support our school communities when crises and other special needs arise by providing presentations, consultations, resources and support to students, faculty/teachers and families.

Counseling Partners of Los Angeles
2016 West Washington Blvd. Los Angeles, CA 90018
310-459-2752
Sign in to Google to save your progress. Learn more
Email *
First and Last Name *
Best email to contact you at: *
Best phone number to reach you at: *
When is the best time to reach out? *
What is your preferred method of contact? *
Please share with us how we can be of help! *
Next Steps
Our counselor will reach out to you via email first to arrange a time for you to talk within the next 3 business days. As always, thank you so much for your dedication to the students and we hope this program will be an opportunity for you to find a much needed respite in the midst of your busy life. 
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Counseling Partners of Los Angeles. Report Abuse