Counselor Request Form
If this is an emergency please dial 911. If you need to speak with someone immediately for suicide prevention please call the suicide hotline at 1-800-273-8255, or for other problems you can call the Texas Youth Hotline for advice at 1-800-989-6884 or text 512-872-5777.
Your name
Student ID *
Grade
What do you need to talk to the counselor about *
How big is the concern *
BRIEFLY explain what you are requesting a counselor for
If URGENT (EMERGENCY) briefly explain (examples could be thoughts of hurting self/someone else, wanting to fight, heard about a possible fight, bullying etc.) Something that cannot wait and is keeping you from staying in class.
Submit
Never submit passwords through Google Forms.
This form was created inside of Denton ISD. Report Abuse