This form is designed to provide Mountain Grove School's students and community members an opportunity to report serious concerns to our counseling office. If this is an emergency please call 911, or Courage2Report at 1-866-748-7047.
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Your Name
(This will be kept confidential.)
 *
Who are you concerned about? *
What is the grade level of the student you are concerned about?  *
K-4 Choose: madey@mg.k12.mo.us
5-8 Choose: swood@mg.k12.mo.us
9-10 Choose: jmiller@mg.k12.mo.us
11-12 Choose: ebenson@mg.k12.mo.us
Unknown Choose: dmitchell@mg.k12.mo.us
Nature of concern is:
 *
What is the Concern?  (Please provide as many details as possible)*
*If the student is in immediate danger to self or others, call 911. Reminder, this form may not be checked outside of school hours.
 *
I would appreciate following up with me, regarding this concern:*
*All party's confidentiality will be protected
 *
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