Request to See Counselor
Please provide your counselor with more information on what you need help with so she can prepare to help you.

If this is an EMERGENCY and you do not have immediate access to a counselor, please speak to a trusted adult ASAP, call 911, or call the Suicide Prevention Lifeline: 1.800.273.8255.
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Student First & Last Name *
Grade *
How urgent is this matter? *
Reason for Request - I need help with: *
Quick Summary of Questions or Concerns *
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