Staff Referral

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Staff Referral

We care for the well being of all of our teachers and staff. Please complete this form to submit a teacher/staff referral. Each referral will be seen as soon as possible and in order of seriousness/emergency.
Communication with counselor is confidential. Thank you in advance for your cooperation.

Email *

Name of person making referral *

Name of person you wish to refer *

Reason for referral *

Please write your contact information for counselor to reach out to you if needed. *

Statement of Confidentiality

Thank you for caring and taking the time to complete the referral form. I will reach out as soon as possible. If you would like to set up an appointment or talk to the counselor, please call (956) 546-1805 or email at cmagallanes@cdobcs.org. Communication with counselor is confidential. If this is an emergency, please call 911.

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