Dear Parent(s)/Guardian:
Your child has been referred to school based counseling services which may include individual or group counseling and/or family support services. School based counseling services differ from community therapy as school counseling is generally short term and focused on finding success at school. School counseling is not on-going therapy, diagnosis, or treatment for specific mental health conditions.
Information shared by students is confidential. The student’s right to privacy is guarded as much as permitted by law, ethics, and school policy. The person providing school-based counseling services is obligated to maintain confidentiality unless there is clear and imminent danger to the student or others or when legal requirements demand that confidential information be revealed.
Should you have any questions regarding this consent form, please do not hesitate to contact me, Kara Ashcraft, at (480)541-4777 or email me at
kashcraft@kyrene.org. Your immediate response is appreciated.