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PRIORITY: Low (schedule when available) High (schedule as soon as possible) Emergency (see now) CONFIDENTIAL SCHOOL COUNSELOR REFERRAL FORM Date Received Students Name Grade Parent/Guardian Name Phone
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How to fill out confidential school counselor referral

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How to fill out confidential school counselor referral:

01
Begin by gathering all relevant information about the student for whom the referral is being made, such as their name, grade level, and any specific concerns or issues that need to be addressed.
02
Next, download or obtain a copy of the referral form provided by the school or counseling department. This form may vary from one institution to another, so make sure to use the correct one.
03
Start by filling out the student's personal information on the referral form, including their full name, date of birth, and student ID number if applicable. It is essential to provide accurate information to avoid any confusion or delays.
04
Move on to the section where you can describe the reason for the referral. Be specific and provide details about the student's struggles or challenges that require the assistance of a school counselor. This information will help the counselor understand the situation better and provide appropriate support.
05
If there are any particular concerns related to the student's academic performance, social interactions, or emotional well-being, make sure to mention them in the designated sections of the referral form.
06
In some cases, it may be necessary to attach additional documents or reports, such as academic records, behavior assessments, or previous counseling notes. Check if there is a space provided on the form to include such documents, and make sure to provide copies, keeping the originals for your records.
07
Review the completed referral form to ensure accuracy and clarity. Double-check all the information provided and make any necessary corrections or additions.
08
Finally, submit the referral form to the designated person or office, following the school's established procedures. This may involve handing it to the school counselor directly, placing it in a secure dropbox, or submitting it online through a designated portal.

Who needs confidential school counselor referral?

01
Students who are experiencing academic difficulties and need guidance and support.
02
Students who are facing personal or emotional challenges that may be affecting their overall well-being and performance in school.
03
Students who are dealing with social issues such as bullying, peer pressure, or difficulty making friends.
04
Students who are struggling with decision-making, goal-setting, or planning for their future education or career.
05
Students who may be dealing with significant life events or trauma that requires professional counseling or intervention.
06
Teachers or school staff who have concerns about a student's well-being and want to involve the school counselor for additional support and guidance.
07
Parents or guardians who feel that their child would benefit from the assistance and expertise of a school counselor.
08
Any individual who identifies a student in need of counseling services and wants to ensure their well-being and success in school.
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Confidential school counselor referral is a process where school counselors refer students to appropriate resources or support services while maintaining the confidentiality of the student.
School counselors are required to file confidential school counselor referrals.
To fill out confidential school counselor referral, school counselors need to gather relevant information about the student and the reason for the referral, complete the necessary forms, and submit them to the appropriate contacts.
The purpose of confidential school counselor referral is to ensure that students receive the support and assistance they need to address any academic, emotional, or behavioral challenges they may be facing.
Confidential school counselor referral must include information such as the student's name, grade, reason for referral, and any relevant background information.
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