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Counselor Request Form for Mrs. Natalie Cottle
Your concerns are important to me. I am available via email, phone or in person. Please fill out the form and we can email or set a time to meet.
If you or someone you know is contemplating suicide or self harming, please call NM crisis at 1-800-662-7474 911 or text 988.
If you or someone you know is contemplating suicide or self harming, please call NM crisis at 1-800-662-7474 911 or text 988.
What is your first and last name
What is your first and last name
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If you or someone you know is contemplating suicide or self harming, please call 1-800-662-7474, 911 or text 988.
If you or someone you know is contemplating suicide or self harming, please call 1-800-662-7474, 911 or text 988.
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Option 1
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Who is your teacher?
Who is your teacher?
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Is your problem urgent? "Urgent" means you are worried about your safety or the safety of others.
Is your problem urgent? "Urgent" means you are worried about your safety or the safety of others.
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Yes If this is after 3:50pm and is an emergency, please call 911.
no
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What would you like to see me for?
What would you like to see me for?
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