Social Emotional Learning Consultation Request
Hello and Welcome!  You have arrived at the Horizon Charter School's social and emotional health consultation request page.  As a result of completing this survey, one of Horizon's School Psychologists will be in contact with you within 1-3 business days to discuss your concern and possible supports available to you.  If you think you are having a medical or psychiatric emergency, including thoughts of suicide or self-harm, please discontinue completion of this form and call 911 or the National Suicide Prevention Lifeline at 1 (800) 273-8255  immediately.  Thank you!
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Name of the person completing this form (first AND last): *
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Students name (first AND last): *
Student grade: *
Supervising teacher: *
Does the student currently have one of the following? *
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