Appointment request for Mattituck-Cutchogue Wellness Team

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Hello! You can request to speak with a Wellness Counselor while schools are closed during this time by filling out this form. We take appointments during regular school hours, Monday-Friday from 9:00 AM - 2:20 PM (MHS students) and 9:00 AM to 3:00 PM (CE students).

Requests made after-school, in the evening or on the weekends will not be checked until the next business day.

If this is a medical or mental health emergency, DO NOT fill out this form. Here are Crisis Resources you can contact directly:

Mattituck - Cutchogue Crisis Counselor: 631-500-0430 (from 7:00 am- 2:20 pm, Monday- Friday)
National Suicide Prevention Hotline: 1-800-273-8255
911 or visit your nearest hospital emergency room if you can get there safely

email address *

First Name *

Last Name *

Student ID *

How would you like to connect with a Wellness Counselor? *

Phone Call

Other:

Additional Information *

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