Need to See a Counselor?
Please fill out form and a counselor will contact you when they are available. If you or someone you know is in immediate crisis, please dial 988 or go to the SafeUT app. 
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I am a:  *
Grade of Student
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Student First Name *
Student Last Name *
Student Number (If your a student) 
If you are a guardian, provide best contact info (phone number/email)
Which Counselor do you want to talk to?
Reason for Appointment: (If you or someone you know is in crisis - please dial 988) *
Required
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