School-Based Mental Health Online Referral
This form serves as a referral for school-based mental health services for students that attend the School District of Monroe. All information submitted via this online form is confidential and will be used to determine need for clinical mental health support at school.

By submitting this referral you are providing consent for the School District of Monroe to consider mental health options for this student. No mental health services will be provided without the written consent of a parent or guardian.

If you have significant concerns about your child's safety that require immediate attention, please contact your child's pediatrician or call 911.

Should you have any questions, please contact Joe Monroe, Director of Pupil Services:
Email: josephmonroe@monroe.k12.wi.us
Phone: 608-328-7155
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