Incident Referral Form
Your Counselor and/or Administrator will see the student and/or contact you regarding your concern within 48 hours. See below for your Counselor and Administrator.

6th Grade Counselor: Torria Fisher
6th Grade Administrator: Rebecca Myers
7th Grade Counselor: Pamela Medlin
7th Grade Administrator: Rebecca Hall
8th Grade Counselors: Pamela Medlin (Last names A-K) and Torria Fisher (Last names L-Z)
8th Grade Administrator: Joshua Dove

Who are you? *
Your Name
Your answer
If you are not a student, what is your student's name?
Your answer
Student's Grade:
The nature of my concern (choose all that apply):
Briefly describe your concern (if the matter is private or reporting suspected abuse, please write "Private" below):
Your answer
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