SCES School Counseling Referral Form:
This form is to refer a student to see the school counselor for NON-CRISIS concerns. For crisis intervention needs (suicidal ideation, threats to others, students in distress, etc) please contact the main office IMMEDIATELY for counselor and/or admin to respond.
Student's Name: *
(LAST Name, FIRST Name)
Your answer
Grade Level: *
Homeroom Teacher: *
Referred by: *
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