CHS Parents and Guardians - Student Referral to Mrs. Strong, PSW (Psychiatric Social Worker) Services
Please complete this form if you or your teen is in need of social support or mental health services. You will get a response within 2 school days from Mrs. Strong. If you are experiencing a psychiatric or health emergency, please call 911. If you are experiencing a mental health crisis and need immediate help, the Los Angeles County Department of Mental Health at 1-800-854-7771, or the National Suicide Prevention Hotline at 1-800-273-8255.
Name of Parent (Last name, First name) *
Email address
Name of Student (Last name, First name) *
Date of Birth *
Student Grade Level *
Current Home Address (# Street Name; City; Zip Code) *
Phone number (Enter as xxx-xxx-xxxx) *
Best Time to Call *
Select from the following options: *
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