Check in with the counselor
Being a kid, comes with all sorts of good days and bad. If you're having a great day I would love to know! If you are having a rough day and you need me talk to me let me know too! Or if you are just having an in-between day, that's okay too!

This form is not monitored 24 hours a day.  If you are trying to get help for a child who has expressed a desire to harm himself/herself, please call 911.  Other resources that are helpful include: calling 211, texting 741741, calling the local 24 hr. Crisis Helpline at 410-535-1121, or the Maryland Crisis Hotline at 1-800-422-0009.
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First Name and Last Name *
How are you doing today? (Make sure to click on the circle and not the picture) *
I would like you to call me, so we can talk *
Phone Number
Anything you want to share with me.
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