LCC Non-Emergency Counseling Information Request
Our most updated information in regards to COVID-19 and school closure is listed on our website. If you have a non-emergency academic, social or emotional need, please complete this brief request form. Assistance can be provided by phone, email or video conference. All information will be treated confidentially and not shared other than to connect you with a staff member who can provide information to you. Please see for further information related to counseling confidentiality at,
. If this is an urgent crisis situation, please do not use this form and instead contact San Diego Access & Crisis Line at (888) 724-7240 or 911 in an emergency. This form is to request counseling information only. District and site communications will address canceled events, classes and other site events.
Student Last Name
Student First Name
Student ID Number
Student Grade Level
I have questions or need more information about:
Parent/Guardian First Name
Parent/Guardian Last Name
Thank you. We will be in communication with you to provide information.
Never submit passwords through Google Forms.
This form was created inside of San Dieguito UHSD.