Counselor Request
If you want your Counselor to follow up with you, please post the best way to communicate with you. If it is by phone or email, please leave your phone number or email below. Your Counselor will probably contact you the day after the responses are submitted. If you are experiencing immediate mental distress please inform your adult caregiver and/or call or text the California Youth Crisis Line, 24 hours a day, 7 days a week at: 1- 800-843-5200 or call 911.
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Grade  *
Concern(s) *
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