Counselor Appointment Request Form
Need to speak with a counselor? Please fill out the form below. Your counselor will pull you from class within 24 hours. If this request is made on a Friday we will not be able to see you until Monday.


If you are experiencing an EMERGENCY or CRISIS, or you are concerned about hurting yourself or someone hurting someone else - get a pass to see a counselor from your teacher NOW, do not fill out this form.
Please Enter your student ID number *
Please enter your last name *
Please enter your first name *
Please select your counselor: *
Please select what you need to speak to your counselor about: *
Submit
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