This form should only be used if you don't want your name shared. If you want a counselor to visit with us please fill out the counselor call form.
Give us an idea of what's going on. Please include names of anyone involved that you are willing to share (first and last). *
We will try to take care of this as soon as possible. Please report this again if things do not improve within a week. If there is a dangerous situation, report this IMMEDIATELY! - Mr. Acuña and Mrs. Lewis