Need additional support?                             ¿Necesita apoyo adicional?
The Boulder Valley School District support teams will be working to provide social-emotional support to our students as we return to school.  Please fill out your information below and a staff member will be reaching out to you soon.

The referral form is not intended to be used for imminent mental health emergencies. If this is an urgent need, please contact the Colorado Crisis Services Line:  1-844-493-8255 or Text TALK to 38255. Additionally, some information in the referral could be subject to mandatory reporting related to harm to self or others.

Los equipos de apoyo del Distrito Escolar del Valle de Boulder trabajarán para brindar apoyo socioemocional a nuestros estudiantes cuando regresemos a la escuela. Por favor proporcione su información a continuación y un miembro del personal se comunicará pronto con usted.

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Student First Name *
Nombre del estudiante
Student Last Name *
Apellido del estudiante
Student Email address *
Correo electrónico del estudiante
Student's Phone Number *
Número de teléfono del estudiante
School Name *
Nombre de la escuela
Parent Name and Contact Information
Nombre de los padres e información de contacto
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