NormanAid Wellness Center Appointment Request
This form is for BHHS and BVMS (including ILC) students, parents and staff to request or recommend counseling services. The NormanAid Counseling Wellness team provides weekly, short term, group and family counseling services.

The NormanAid Wellness Team includes BHHS Wellness Counselor Ali Norman-Franks, Maple Center Counselors and counseling interns from USC and LMU.

Virtual counseling is available Monday-Friday from 8:00 am-6:00 pm.

We will respond to your request as quickly as possible. For additional resources, visit normanaid.org.

*IF YOU HAVE AN EMERGENCY AND NEED IMMEDIATE HELP, PLEASE CALL 9-1-1 or GO TO THE NEAREST EMERGENCY HOSPITAL
Students last initial (Don't include full last name) *
Student's first name (Don't include last name) *
Student ID (long or short)
Students, please provide your BHUSD email AND your personal email so we can contact you and schedule your appointment. Please check your junk mail. *
Students Cell Phone Number (You can write "none" if need) *
Request being made by *
Name of Person Making the Request *
School of Attendance *
Grade *
Age of Student *
Email of the person referring student to NAWC (Parent's/Staff Member)
Is there any information you would like to share with the Wellness Counselor before the meeting? If so, please share below.
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