Complete this form to contact Ms. Petru, Student Assistance Counselor, or Ms. Watts, School Social Worker 
Ms. Petru and Ms. Watts will review responses several times a day Monday- Friday from 8:30 am to 3:35 pm and contact you as soon as one of them is available. Please understand they may be helping other students and families and may not be able to respond immediately.
  
Ms. Petru's hours are Monday- Friday from 8:30 to 3:35.
Ms. Watts' hours are Monday-Friday from 8:30 to 3:35.  

If you need immediate support, please call one of the support systems below:

Emergency Services 911
Suicide and Crisis Lifeline 988
Humboldt Suicide Prevention (707) 268-2132
Humboldt County Mental Health (707) 445-7715 or 1-888-849-5728
United Indian Health Services Youth Suicide Prevention (707) 825-5060
Two Feathers (707) 839-1933
The Trevor Project LGBTQI Support 1-866-488-7386
North Coast Rape Crisis Team (707) 445-2881
Runaway Safeline 1-800-RUNAWAY or text 66008

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Email *
Please note...
If this is a crisis that merits immediate attention, please contact the office (707 825-2400) or call 911.  
Please type the first and last name of the student who needs support below. *
Who is making this referral for support? *
If someone OTHER than the student is completing this form, please put your first and last name and your contact information below.
What is the student's contact information? Please put the best contact information below whether it be an  email and/or phone number. *
Please explain why you are contacting Ms. Petru or Ms. Watts below. How may they support you or another student right now? *
A copy of your responses will be emailed to the address you provided.
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