2019-2020 HESD School Counseling Services Referral Form
Thank you for taking the time to complete the referral form. The more information you can provide me regarding your concerns the better I can support you and the student. If you prefer, you may submit a paper copy instead and put it in my box.
Once I receive this form, I will be in contact with you regarding potential services. If ongoing services are needed, I will provide permission to parents/guardians.
Please keep in mind that:
School Counseling is brief and solution focused, typically lasting 6-8 sessions.
Parent permission is required for all counseling services.
Not all students referred will receive school based services.
If you have any questions regarding this form or about services offered through the counseling program, please do not hesitate to ask me!