High School Request to See a Counselor 18-19
In case of EMERGENCY, please dial 911. Do not email or leave voicemail's for the school counselors if you have a concern regarding the immediate welfare of yourself or another student. This form will be frequently monitored, but it is in no way a crisis line that is monitored 24/7.
Email Address *
Your answer
What is your first name? *
Your answer
What is your last name? *
Your answer
Select your grade. *
What can we help you with? *
How would you rate your need to see a counselor today? *
If this is outside school hours, and your answer is "5" please contact an adult immediately or call 911. This is NOT a crisis line and is not manned 24/7.
I would like to see someone this week, but my issue isn't an emergency.
I am concerned for the immediate well being of myself or someone else
Is there anything you want to tell us? This is optional, you can leave this blank.
Your answer
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