NormanAid Counseling Appointment Request
Please answer the following questions. Your responses are private and will only be seen by NormanAid Counselors (NOT Peer Counselors). We will respond to requests with a summons as quickly as possible. For additional resources, visit
. To make an anonymous report, visit
*Please wait for your summons.
*IF YOU HAVE AN EMERGENCY OR A CRISIS, PLEASE VISIT YOUR SCHOOL COUNSELOR AND THEY WILL HELP YOU FIND IMMEDIATE SUPPORT.
First name, last name initial
Student ID (long or short)
Which period(s) do you believe your teacher would permit you to leave for an appointment?
Do you have an emergency or a crisis and need to be seen immediatly? If yes, PLEASE see your school counselor so they can help you get immediate support.
Please provide a cell phone or email so we can contact you if we have a question.
Please share briefly your main reason for requesting an appointment.
Mental Health: stress, anxiety, depression, etc.
Grief or loss
Have you met with a NA counselor before?
Are you assigned to a NA counselor for weekly appointments?
Have you met with a NA counselor already this week, or are scheduled for an ongoing appointment later in the week? (If yes, you will need to request a lunch appointment becasue students can only be excused to be in NA one time a week.)
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This form was created inside of Beverly Hills Unified School District.