West Fork Elementary  Counseling Request Form
This form is to provide you with a way to request counseling with Mrs. McKnight.  Please fill it out and submit.  I look forward to supporting our students!  
* If you need to report imminent danger to a child or suicidal statements, do not use this form.  Call me at extension 2028 or contact the main office. *  Thank you!
Sign in to Google to save your progress. Learn more
Email *
Your Name *
Your role to the student *
Student Name *
Student Grade *
What is your concern regarding the student? *
Required
Please provide any details that will help me understand the student's needs.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of West Fork Schools.

Does this form look suspicious? Report