Sawyer Road Counseling Request

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Please fill out the form below and one of our school counselors will be in touch with you.

Student's Name *

Parent's phone number *

Parent's Email address *

I would like assistance with the following:

1. I’m concerned about my child’s emotions.

2. I need help with food, housing, etc.

3. I need help with internet access.

Other:

By typing my name into this form, I consent to a school counselor, or counselor intern, contacting me or my student in regard to the concern stated above. I understand that the information shared by me or my student is not fully confidential, and may be shared at the counselor's discretion. *

Type Parent name below to provide consent:

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