Counselor Appointment Request

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Need to speak with a Counselor? Please complete this form and someone will contact you as soon as possible. If this is a TRUE emergency and/or requires immediate assistance, please contact the school directly at (731) 696-5583.

EMERGENCY
Report to the counseling office, an administrator, or nurse immediately if:
- You or someone you know is a danger to themselves or others
- Someone is a danger to you or others
- Other emergency concerns

EMERGENCY OUTSIDE OF SCHOOL
If you are not at school and need immediate emergency assistance, please contact a trusted adult, call the police department, or 911.

E-mail address *

Tell us who you are: I am the: *

Student's Name: *

Grade: *

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