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Counselor Referral Form - PARENTS & TEACHERS
This form is available for parents and teachers to refer a child to be seen by the counselor.
Student's Name
Your answer
Student's Teacher
Your answer
I would like to refer a child/student to the counselor regarding:
Any more information you would like to add:
Your answer
This is:
This form will be sent directly to Mrs. Ryals
Mrs. Ryals is typically on campus Tuesday through Friday. She can be reached at aryals@slcusd.org or by calling the front office at (805) 771-1858
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