DHS Counseling Request Form
Use this form for non-urgent matters.  If your issue is an emergency (your safety or someone else's safety is in jeopardy), please report to the office immediately to be connected with a counselor.
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What is your FIRST name? *
What is your LAST name? *
What grade are you in? *
What type of issue are you having? *
If you are an online student, please list the best number or email address to reach you.
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