School Counseling Referral

If a student expresses suicidal (self-harm verbally or in writing), homicidal (harm another person verbally or in writing), or child maltreatment (sexual abuse, physical abuse, or neglect)  please contact school leadership immediately for Crisis team protocol and complete this form (for tracking purposes)
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Student Behavior Concerns
Is the PARENT REQUESTING weekly counseling sessions for themselves and/or their child?

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