Virtual School Counseling Request Form
Hello and thank you for your interest in virtual sessions with your school counselor. When parents request a series of counseling sessions we request informed consent by the parent, which in this form. Because virtual sessions are unique, we ask parents to be present as well. I am including the ethical standards provided by the American School Counselor Association below.
Email address *
Student's Name (One form per student) *
Parent's Name *
How would you like Mr. Ortiz to contact you? *
Parent's Contact Information (Phone, Email, or any type of contact. *
Please check each box if you have read and understood the following Ethical Standards for Virtual/Distance Counseling provided by the School Counselor. * *
Required
I give my consent for my child to participate in virtual counseling sessions. *
A copy of your responses will be emailed to the address you provided.
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