Belmont-Redwood Shores Remote Counseling Request & Telecounseling Consent
Students and families please use the below form for support from school counselors.

Concerns may include:

-Child/student is having a hard time coping with the temporary changes being made in response to COVID-19
-Child/student is in need of emotional support - showing signs of sadness and worry
-Child/student expresses a desire to talk with the school counselor

Please note, if you or your child are experiencing an urgent mental health concern or emergency you should call 911 or contact San Mateo County Mental Health hotline at (800) 686-0101.
I am a.... *
Student Last Name *
Your answer
Student First Name *
Your answer
Parent/Guardian Last Name (if form completed by guardian)
Your answer
Parent/Guardian First Name (if form completed by guardian)
Your answer
School *
Student Grade Level *
Urgency of Need *
Contact me when you can
I have an urgent need *recommended to call 911 or county mental health hotline at (800) 686-0101
Nature of Concern *
Briefly expand on the nature of your concern and what type of support you are looking for from the school counselor.
Your answer
Preferred Response Type *
Contact information (phone and email) *
Your answer
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