Raymondville ISD Referral Form for School Counseling Services for RISD Students
Please fill out the referral form if you (the parent) would like his/her school counselor to speak to your child or if you (the student) want to speak to a school counselor. We will receive the referral and get back to you as soon as we can.

*NOTE: A school counselor will be available to speak with students regarding areas of their academic, behavioral, social and emotional needs. At times, a counselor may have to refer child to outside agencies.

Thank you!
Priority *
School and School Counselor *
Student First Name *
Student Last Name *
Grade *
Referral Date *
Referred By: *
Parent Name *
Parent Phone Number or House Phone *
Parent Email
Best Way to Contact Child *
Best Time to Make Contact (between 8 am - 4 pm) *
Best Dates to Make Contact (please provide 3 days in case other appointments are scheduled for the date requested) *
REASONS FOR REFERRAL (select all that apply)
Other Concerns
Any other concerns you may have, please let us know.
List of Resources and Phone Numbers for Support Lines
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