School Counselor Referral Form 2025-2026
If you would like an appointment to see the School Counselor please fill out this form.  Please do not drop in if you do not have an appointment.  Although we are always happy to see you, we cannot have multiple students in the office at a time as it causes distractions and students need to be accountable for where they are supposed to be at all times.

If it is an immediate emergency please let your teacher know.  (An Emergency means: you are going to hurt yourself, you are going to hurt someone else, or you know of someone going to hurt someone else, or someone is hurting you.)  Otherwise, choose from the options below and we will get to you as soon as possible.  When you are called, please report to the MAIN OFFICE with Tammie and Kay and we will call for you to come over when it is your turn.  

This change is to help address the immediate issues quicker and to reduce the noise and traffic in the guidance office that we now share with the School Psychologist who will be doing testing in her room. 

Thank you for understanding. 

*NOT FOR SCHEDULE CHANGES - ANY SCHEDULE CHANGE REQUESTS NEED MADE ON THE SCHEDULE CHANGE REQUEST FORM!  IF YOU SUBMIT A SCHEDULE CHANGE REQUEST HERE IT WILL BE DELETED*
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Students full name - this is kept confidential  *
Grade *
Best elective time to be pulled - students will not be pulled from core classes.  *
Counselor to see *
Reason for session *
Reason for session - brief description of what you need.  *
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