FA Student Wellness Check-In
This health crisis can cause increased anxiety, depression, etc. We want to stay in touch.

Please fill this form out and one of the counselors/school psychologist or Mrs. Gravell will follow up with you as soon as possible.If this is an emergency please call the crisis center at 518-481-8160 for crisis help or the 24 hour help line at 518-483-3261.
Email address *
Last name *
First name *
Preferred method of communication *
If you want us to call you, list your cell phone # below
Please include anything you'd like us to know before we connect
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Malone Central School District. Report Abuse