Parent/Guardian Consultations

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SCCS will hold space for parents and families to discuss their child’s unique challenges, strengths and needs to ensure we all start the fall semester off right!

Please select your typical availabilities to assist in scheduling.

Email *

Your Name *

Student Name *

Student Grade *

Would you prefer to meet in person or virtually? *

In person

Virtual: Google Meet

Virtual: Zoom

Phone Call

Best number to reach you? *

What times are you typically available?

Please select all that apply

Morning 9-11AM

Midday 12-2PM

Afternoon 2-4PM

Monday

Tuesday

Wednesday

Thursday

Friday

Most pressing concerns? *

Behavioral: Difficulty with self control

Behavioral: Difficulty following directions

Emotional: Depression/ Anxiety

Emotional: Isolation

Emotional: Often angry / changes moods rapidly

Interpersonal: Concerning relationships/friendships

Interpersonal: Communication challenges

Bereavement: Experienced the loss of a loved one

Other:

Required

How long have these concerns persisted? *

Just began: <1 month

2-6 months

7- 12 months

A few years

These concerns have pretty much always existed

Other:

Any other comments and/or questions?

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This form was created inside of NYC Department of Education.