Bellflower Counselor Request Form
Dear Student:

This form will provide an easy way for you to connect with the Bellflower MS/HS Counseling Team! Just fill out this form, and we will follow up with you as soon as we can!

Counselors are available to respond Mon-Fri. from 8:30-4:30 (except holidays/breaks) and are not available during the weekend. If this is an emergency and you do not have immediate access to a counselor please reach out to a trusted adult ASAP, call 911, or call/text the Suicide and Crisis Lifeline at 988.
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Email *
First Name *
Last Name *
Student ID # *
Student Cell Phone # *
Grade Level *
Which counselor would you like to speak with? *
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