SCHOOL COUNSELING INFORMED CONSENT
The Siren Middle/High School is committed to providing quality education to its students. Part of that goal includes
school counseling services. Our counselors offer short-term individual counseling services and small group
counseling to students. Skill areas that are often addressed include: friendship and social skills; dealing with anger,
anxiety, sadness, or loss; improving self-control; addressing self-esteem; and making responsible choices.
Parents/guardians and school staff may refer students for counseling, or students may request counseling for
themselves. School counseling services are short-term services aimed at the more effective education and
socialization of a child within the school community. These services are not intended to serve as a substitute
for diagnosis or treatment for any mental health disorder. I acknowledge that it is my responsibility to
determine whether additional or different services are necessary, and whether to seek them for my child.
CONFIDENTIALITY:
The counselor will keep information disclosed by students confidential, with some exceptions. Information will
only be shared with parents/guardians, administrators, teachers/school personnel on a need-to-know basis, with
the intent to work as a team to help the student. These limits to confidentiality will be explained to the students
as well. Under the following circumstances, the school counselors are required by law to share information with
others:
1. A student presenting information about hurting themselves or another person
(whether it has happened already, or the intent is suggested).
2. Evidence or disclosure of abuse (physically, emotionally, and sexually) or
neglect. In this case, a report will be made to the appropriate county, and the
counselor may or may not inform parents/guardians about the report.
3. Threats to school security.
4. In the event that counseling records are court-ordered.