Mental Health Consultation Request Form
If you have concerns about your child's mental health and you are wondering about mental health supports that may be available at school or in the community, you are welcome to complete and submit this form. One of our mental health staff will contact you to follow up.
The SMCDSB does not provide crisis service through this platform. These requests will be monitored and you can expect a response within 3 days. If this is a crisis or you require urgent support see SMCDSB website > Mental Health and Well-Being > Community Mental Health Resources > Urgent Services.
Date of Request
Parent/Guardian First and Last Name
Parent/Guardian Email Address
Do you give us permission to contact you by email?
Parent/Guardian Phone Number
Do you give us permission to contact you by phone?
Name of your child's school
NOTE: If your child is in the Simcoe Muskoka Catholic Virtual Elementary School, please select their HOME SCHOOL from the list below.
Father F.X. O'Reilly
Monsignor J.E. Ronan
Monsignor Michael O'Leary
Our Lady of Grace
Our Lady of Lourdes
Saint Gabriel the Archagel
Saint Mary (Huntsville)
Sister Catherine Donnelly
St. Angela Merici
St. Antoine Daniel
St. Catherine of Siena
St. Francis of Assisi
St. Jean de Brebeuf
St. John Paul II
St. John Vianney
St. Marguerite d'Youville
St. Marie of the Incarnation
St. Mary's (Barrie)
St. Mary's (Collingwood)
St. Michael the Archangel
St. Noel Chabanel
St. Peter the Apostle
St. Teresa of Calcutta
The Good Shepherd
Holy Trinity Catholic High School
Our Lady of the Bay Catholic High School
Patrick Fogarty Catholic Secondary School
St. Dominic Catholic Secondary School
St. Joan of Arc Catholic High School
St. Joseph's Catholic High School
St. Peter's Catholic High School
St. Theresa's Catholic High School
St. Thomas Aquinas Catholic Secondary School
For parents of highschool students: I understand that the Guidance staff at my child's school may be contacted to assist with follow up.
Yes, I understand that Guidance staff may be contacted to assist with follow up.
My child is in Elementary school.
Please provide a brief description of your question or concern regarding your child's mental health?
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This form was created inside of Simcoe Muskoka Catholic District School Board.