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WSD School-Based Counseling Referral Form
The Marathon County School-Based Counseling Consortium comprises of nonprofit and for-profit mental health
clinics, public school districts, and community organizations.  Consortium counseling agencies are able to provide on-site mental health counseling to students in all Marathon County public schools.
If you would like to refer your child for school-based counseling or would like more information, please complete the questions below and a representative from your child's school will contact you.  

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Date:                                       *
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Student Name *
School *
Parent/Guardian Name *
Parent/Guardian Contact Information - phone number and/or email *
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