UCCS Counselor Request Form
Please fill out this form to set up a time to talk with the school counselor. Someone will contact you within 24 and 48 business hours.
NOTE: If this is an emergency please exit this form and call 911 or Summit Pointe Crisis Line at 1-800-632-5449.
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Student first and last name?
Guardian contact name, email, and phone number?
What building do you (or your child) attend?
What would you like to talk to the school counselor about?
Social Emotional (mental health, anxiety, depression, anger, etc.)
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This form was created inside of Union City Community Schools.