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Request an appointment with a Counselor
This form is for students, parents, or staff to request a counseling visit or report a concern.
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* Indicates required question
Grade Level
*
6
7
8
First Name
*
Your answer
Last Name
*
Your answer
Reason you need to see a counselor.
*
Schedule Question
Academic Support
Peer Conflict
Mental Health Concern (anxiety, sadness...etc)
Safety
Who are you concerned about
Myself
Someone Else
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