HOA Counseling Referral
Use this confidential form to request to speak with the School Counselor, Annie Hindman, or the Wellness Counselor, Sara Stollberg. Staff can also use this form to make referrals.
If this is a mental health emergency please contact the Washington County Crisis line at 503-291-9111 or go the the Hawthrone Walk-In Center at 5240 NE Elam Young Pkwy, Hillsboro, OR 97124. You may also call the National Suicide Lifeline at 1-800-273-8255 or text 741741.
Name of referring person (first and last) *
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Student First Name *
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Student Last Name *
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Student Grade *
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Student ID (if you know it)
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I am: *
My concern is: *
Please explain your concerns (please be specific) *
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Email address *
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Phone Number
optional but preferred
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