MHS Remote Counseling Check-In Request
Students, the MHS Counseling Department is thinking about you during this time. We want to be available to you and connect with you when needed, even through remote means. Please complete this form if you would like to schedule a time to check-in with your School Counselor. This request link will be available Monday-Friday, 8 am-2 pm. Upon submitting a request, your Counselor will work to follow-up with you in the next few days, but will not be able to respond immediately. In order to meet the needs of all students, check-ins may be kept to a minimal amount of time.

This form is NOT to be filled out in the event of an emergency. If you are in need of immediate assistance, or are in a crisis situation, please do one of the following:
Dial 9-1-1.
Call or text a 24-Hour Crisis Hotline.
National Suicide Prevention Lifeline: suicidepreventionlifeline.org or call 1-800-273-8255 or
Crisis Text Line: http://www.crisistextline.org/textline/ or ​Text CONNECT to 741741
Report to the closest Emergency Room.

For an additional list of resources and helpful information, please check out the COVID-19 Survival & Well-Being Kit, now available on the MHS website! https://mohigans.mono.k12.wv.us/userfiles/88/my%20files/counseling/student%20well-being%20kit%20&%20resources.pdf?id=8081
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Last Name *
First Name *
Grade Level *
School Counselor Name *
Preferred Email Address *
Preferred Phone Number *
Your primary concern or question is related to... *
The reason for your request is due to... *
Required
How do you prefer to be contacted? *
Thank you for completing this form. We look forward to connecting with you soon!
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