NMHS Counseling Meeting Request **(Students Only)**
School Counselors: Cowden, Dykes, Flores, Garcia, Mortinson
Mental Health Therapists: Jody Guggia*, Esther Mortensen*
*If your request is urgent, please call 541-842-1191
Please complete this short form to either request a meeting with your counselor or to simply ask a quick question that can be replied to by email. Please provide your cell number if you have one.
Please remember that each counselor serves several hundred students at once. You will receive assistance as soon as possible.
Student Last Name
Student First Name
Student ID #
I am in need of support with...
...a personal issue
...emotional/mental health issue
Other (Explain below)
If requesting a schedule change, please indicate reason
Missing a required grade level class
Missing a graduation requirement (seniors)
Not Applicable (click here if not requesting a schedule change)
Other (explain below)
What is the best phone number to reach you at? (This will be used for your appointment)
My specific situation is...
Please describe your specific situation here - the more detailed you are, the faster we can respond. (for example, if requesting a schedule change, list the course(s)/blocks, etc.)
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