Wellness Check-In at FUHSD
Hello! During this time of school closure and remote learning we want your school experience to be successful.
You can request to speak with a School Based Therapist or School Psychologist while campus is closed by filling out this form. We take appointments during regular school hours, Monday-Friday from 8:00 AM - 3:30 PM.

If this is a medical or mental health emergency, DO NOT fill out this form. Here are Crisis Resources you can contact directly:

24-hour Suicide and Crisis Line (Santa Clara County) ....1-855-278-4204
Bill Wilson Youth Hotline (24-hour Suicide & Crisis Line) ..408-850-6125
National Suicide Prevention Lifeline (24-hour)....1-800-273-TALK (8255)
Rape Crisis Hot Line (24-hour) ...........................................650-493-7273
Trevor Lifeline LGBTQQ+ Crisis Support..........................1-866-488-7386
Crisis Text Line Text “LISTEN” to...................................................741741

911 or visit your nearest hospital emergency room if you can get there safely

¡Hola!

Durante este tiempo de cierre de la escuela y aprendizaje remoto queremos que su experiencia escolar tenga éxito. Puede solicitar hablar con un Terapeuta basado en la escuela o Psicólogo Escolar mientras el campus está cerrado rellenando este formulario. Tomamos citas durante el horario escolar regular, de lunes a viernes de 8:00 AM - 3:30 PM.

Si se trata de una emergencia médica o de salud mental, NO llene este formulario. Aquí están los recursos de crisis que puede contactar directamente:

Condado de Santa Clara.....................................................855-278-4204
Bill Wilson 24/7 línea para jóvenes .........888-247-7717 / 408-850-6125
San Jose .............................................................................408-279-3312
Norte del Condado ............................................................650-494-8420
Sur del Condado ................................................................408-683-2482
Programa Nacional para la prevención del suicidio
https://suicidepreventionlifeline.org/help-yourself/en-espanol/............
.....................................................................1-888-628-9454 24hs/7 días
Asalto sexual y violencia domestica - Community Solutions
.........................................................................................1-877-363-7238
Crisis Mobile de Uplift (EMQ).............................................408-379-9085


911 o visite su sala de emergencias del hospital más cercano si puede llegar de forma segura
School (Escuela) *
First Name (Nombre) *
Last Name (Apellido) *
Email address (Dirección de correo electrónico) *
Phone number (número de teléfono) *
Student ID (Identificación del Estudiante) *
How would you like to receive support? (¿Cómo le gustaría recibir asistencia?) *
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