Appointment Request-COHS Distance Counseling
Please use this form to request an appointment with a school counselor.
Olsen (A-Col) | Stringer (Con-Ha) | Chase (He-Mak) | Nguyen ( Man-P)| Warren (Q-S) | Anaya (T-Z)
We try to check in with students between 8am to 3:00pm (Monday-Friday).
Please allow at least 24 hours for us to respond.
Outside of these hours please be aware of the following free and confidential resources that are available 24/7:
Crisis Talk Line: 1-800-273-TALK
Crisis Text Line: Text iCare to 898211
IF THIS IS A CRISIS/EMERGENCY, please do not hesitate to call 911.
Please identify who you are:
Student's full name:
If you are a parent/guardian or educator, what is your name?
Student ID number:
If you know your counselor, please select:
Mr. Olsen (A-Col)
Ms. Stringer (Con-Ha)
Ms. Chase (He-Mak)
Ms. Nguyen (Mal-P)
Ms. Warren (Q-S)
Ms. Anaya (T-Z)
What primary topic would you like to address with a school counselor?
Specific question or issue:
How would you prefer to communicate:
Video Chat (Zoom)
What is your email:
What is your phone number:
What time and/or days are you available to speak?
Never submit passwords through Google Forms.
This form was created inside of Elk Grove Unified School District.