Request for Counseling Services
Social Emotional Learning (SEL) is the foundation for managing emotions, having healthy relationships, understanding and empathizing with others, being responsible and safe, and learning to cope with difficult situations and manage our stress, emotions, anxiety, and fear during this unprecedented situation. While this is a difficult time, it is important for us all to continue to focus on the physical, mental, and social emotional health of our students and to work on strategies for helping them build resilience. Complete this form to request counseling services for your child. Please note that direct counseling services are available for students in grades 3-12.  Parents will receive resources and strategies to use with students in grades PK-2.
Sign in to Google to save your progress. Learn more
Clear selection
Select the campus the student attends. *
Student's First and Last Name *
Student's HISD ID Number
Student's Current Grade Level *
Required
Student's Date of Birth *
MM
/
DD
/
YYYY
First and Last Name of Parent/Guardian Submitting this Request. *
Parent's Phone Number *
Parent's Email Address *
A child’s social and emotional development are as important as physical health in creating a solid platform on which healthy functioning in home and community rests. Counseling services will be provided by trained professionals from our Counseling and/or Social and Emotional Learning Departments. Please check the services you are requesting for your child. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Houston Independent School District. Report Abuse