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Faubion Counselor Contact Form
If you are having a mental health emergency or experiencing suicidal ideation, please contact with 911 or the resources listed below.
National Suicide Prevention Hotline: 1-800-273-8255
https://suicidepreventionlifeline.org
Bluebonnet Trails Community Services 24 Hour Crisis Line 1-800-841-1255
http://bbtrails.org
Integral Care 24 Hour Help Line 512-472-HELP (4357)
https://integralcare.org
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Več o tem
* Nakazuje obvezno vprašanje
E-poštni naslov
*
Vaš e-poštni naslov
Name of person making referral.
*
Vaš odgovor
Student ID
Vaš odgovor
Today's date:
*
DD
/
MM
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I am a
Student
Parent
Teacher
Concerned friend
Drugo:
Počisti izbor
The counselor I am trying to contact is
Kristin Wilson
Počisti izbor
Preferred method to contact you.
Email
Phone
Enter contact information below
Vaš odgovor
I would like to discuss
Current class behaviors
Middle School
Friends
My feelings (stress/worries, sadness, anger etc.)
Family
Drugo:
Počisti izbor
If you are a teacher, does the parent know that you are contacting me?
No
Yes
Počisti izbor
If no, why not?
Vaš odgovor
Anything else I need to know about the situation?
Vaš odgovor
Pošlji
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