Parent/Guardian Counseling Referral Form
*The following crises require immediate intervention: suicidal ideation, self-harm, threat to harm others, suspected child abuse/neglect. Please contact the Student Support Office (415.749.3600) for assistance.
San Francisco Child Abuse and Neglect Hotline
Child Crisis (San Francisco Department of Public Health)
Huckleberry House for Temporary Shelter
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Your Name (First, last)
Your Telephone Number
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This form was created inside of Gateway Public Schools.