Counseling Appointment Request
To make a referral or request an appointment with a counselor, please fill out the information below. I will do my best to create an appointment in the next 48 hours to visit with you, but please note that I am only in the building part-time. If this is an emergency (suicidal thoughts or actions, fear of harm by self/others, etc.) please see Mr. Holmes or other trusted adult immediately. If this is an emergency outside of school hours, call 911.
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Email Address
Student Last Name
Student First Name
I am...
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Best time to meet with me (Note that this will depend on counselor's schedule)
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Priority
Reason for appointment
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Briefly explain if you can: For example: "I am struggling with a class" "I am having trouble with friends" "I need help applying to college"
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