​This form is for students to request school counseling services. Any information shared in this form is for the use of the school counselor and will NOT be kept in the cumulative files. If the basis for your referral is to report any abuse, neglect, or intent to harm, you are urged to contact the Department of Social Services. Thank you for helping me better serve you.

Student Referral Form

​This form is for parents/guardians to request school counseling services. Any information shared in this form is for the use of the school counselor and will NOT be kept in the cumulative files. If the basis for your referral is to report any abuse, neglect, or intent to harm, you are urged to contact the Department of Social Services. Thank you for helping me better serve our students.

Parent Referral Form

​This form is for faculty/staff to request school counseling services. Any information shared in this form is for the use of the school counselor and will NOT be kept in the cumulative files. If the basis for your referral is to report any abuse, neglect, or intent to harm, you are urged to contact the Department of Social Services. Thank you for helping to better serve our students.

Faculty/Staff Referral Form