Referral Form

Please click the link below to access my counseling referral form. Please note that school counseling services are designed to provide short-term support focused on students’ academic, social, and emotional needs within the school setting. If you feel your child may benefit from additional support or long-term counseling services, please indicate that on the referral form so appropriate resources and referrals can be provided.

Once your referral is submitted, I will follow up within 24–48 hours. If this is an urgent concern or a student is in immediate crisis, please email me directly after submitting the form and notify the front office or administration right away so we can ensure timely support. Thank you for partnering with us to help support the well-being and success of our students!