High School Counselor Referral Form
Referrals will be sent to the campus counselor by default. In the event that the campus counselor is not able to meet with the student in a timely manner, the next available counselor will follow up on this request.  
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Email *
What is your name?  *
Grade *
Required
I need to talk about... *
Required
My problem is... *
Required
If you are a teacher referring a student please leave your name and the period the student comes to you, along with a brief explanation as to why you are referring this student. 
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