Live Counseling Guidelines and Parent Permission Form Middle School
As we enter the 2021-2022 school year we feel we need to be prepared for a transition from the provision of in-person counseling services to virtual if/when necessary. Virtual counseling may be necessary should a student be required to quarantine in adherence with the current CDC guidelines, or in the event of a school closure.

While the consent form below applies to the conditions applicable to virtual counseling session, it also covers consent for any school based counseling services your child may need throughout the 2021-2022 school year.
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Email *
Student's Last Name: *
Student's First Name *
Parent/ Guardian Name (Last Name, First Name) *
Grade *
A parent/guardian must be present in order for live counseling sessions to take place. If another family member is present, they must be 18 years of age or older. While an adult is present, we want to be clear that they should not make themselves a part of the session as counseling, by its nature, should be confidential between the student and counselor. *
Parents understand that live counseling sessions are a time when conversations between parents and counselors will not be allowed. If you would like to speak to your child’s counselor, please reach out through Google Classroom or email in order to set up a private conversation. *
Students should be in a comfortable, but structured setting that is free from loud noises and undue interruptions (i.e. a table or a desk). *
Confidentiality still applies for virtual counseling sessions. Recording of live counseling sessions is expressly forbidden and will carry disciplinary action. *
Parents acknowledge that, in the event of a group counseling session, other students will be able to view their child as live counseling sessions are taking place. *
Counseling sessions will be implemented utilizing a combination of scheduled sessions and the ability for the student to “drop-in” during office hours organized by the counselors. Parents understand that their child will be invited to a session, at a specific time using the Google Meet or Zoom platform, to implement live counseling. It is our expectation that these meetings will start on time. If a parent and student have not logged in 10 minutes, after the scheduled start time, the counselor will log off. While we will do our best to reschedule the session, other obligations may prevent the counselor from doing so. *
Students are expected to behave in the same respectful manner described in our code of conduct. Should any student display disruptive or offensive behavior they will immediately be exited from the live session by the counselor. *
Granting or Denying Permission *
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