School Counseling Referral
IF THIS IS AN EMERGENCY (SOMEONE IS AT RISK OF BEING HURT), CONTACT AN ADULT IMMEDIATELY!

Please use this form to be seen by a counselor.

**Important Note** Responses to this form are checked when school is OPEN. If school is closed (after school hours, weekends, holidays, etc.), the responses will not be seen until school is open again.
I am a:
Clear selection
Next
Never submit passwords through Google Forms.
This form was created inside of Wake County Public School System. Report Abuse