Request a Virtual Counseling Appointment
Please fill out this form to request a virtual appointment with Miss Madrid. If you have questions, please feel free to email me at dmadrid@stocktonusd.org

If you are experiencing a safety emergency, please tell the nearest adult around you or call 911.

Once the request form has been submitted, your counselor will email you the date, time, and link to a virtual meeting based on the times that you requested.

**Please note, virtual services via email, audio, and video conferencing are not secure for personal issues and pose confidentiality issues.
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Email *
Today's Date *
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Name (First, Last) *
Student SUSD Email  (example:2934567@stocktonusd.org) *
Grade *
Best Phone Number to Reach You *
Teacher(s) *
I would like to talk to the school counselor about: *
Required
Preferred Form of Communication *
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Prefered Time of Day to Speak with Counselor *
Required
Notes for the Counselor
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