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Request to See a Counselor
Please fill out this form to request to see a counselor.  

Counselors will try to call you in within 48 hours if available.
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Email *
Your Name:
Realtionship to Student
Student Name (First and Last Name) *
Student ID# (lunch number) *
Grade *
Counselor You'd like to see: *
What do you need to see your counselor about? *
Comments (Information you'd like your counselor to know about your request.)
If you are feeling unsafe or in a crisis situation, please call 911 or the National Suicide Prevention Lifeline at 1 (800) 273- TALK (8255).  Visit our districts wellness web site for hotline and textlines information at
A copy of your responses will be emailed to the address you provided.
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