Viking Wellness Center Request

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Complete the following information if you would like assistance from the Viking Wellness Center. You may access support from the wellness center during school days (Monday through Friday 8am-3pm). You will be contacted by phone and email so please leave your phone number in the last question. If this is an emergency, please contact 911 immediately.

If you know someone who needs immediate help, please call the National Suicide Prevention Lifeline at 800-273 TALK (8255) or contact the Crisis Text Line by texting HOME to 741741.

Be Well

Email *

First Name *

Last Name *

Student ID Number *

Grade *

9th

10th

11th

12th

Phone number we may reach at *

Briefly describe how we can help *

Submit

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