Birney MTSS Student Support Referral Form (SST Initiation)  2025-2026
This form is not currently accepting responses. If this is an urgent referral, such as suicidal thoughts or concerns about safety, please notify your administrator and/or call 9-1-1 or the National Suicide Hotline at (1 (800) 273-8255 (TALK)). If you would like to make a referral for Mental Health Counseling Services for the school year 2026-2027 please call the school at (562) 801-7660 or Student Services Office at (562) 801-7600.


We wish you a wonderful summer!

Sincerely,

ERUSD Mental Health Team

Este formulario no acepta respuestas actualmente. Si se trata de una referencia urgente, como pensamientos de suicidio o inquietudes sobre la seguridad, por favor notifique a su administrador o llame al 911 o a la Línea Nacional de Ayuda para el Suicidio al 1 (800) 273-8255 (TALK). Si desea hacer una referencia para servicios de consejeria de salud mental para el año escolar 2026-2027, llame a la escuela al (562) 801-7660 o a la oficina de Servicios Estudiantiles al (562) 801-7600.


¡Le deseamos un verano maravilloso!

Atentamente,

Equipo de Salud Mental de ERUSD
This form was created inside of El Rancho Unified School District.

Does this form look suspicious? Report