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Parades Elem. 2013-2014 Counselor Referral Student's Name: Teacher: Gr: Parent's Name: Phone # Referral Date: Person filling out this form: Position: Please note: This form is not to be used for Discipline
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How to fill out counselor referral form

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How to fill out a counselor referral form:

01
Obtain the counselor referral form: The first step is to obtain the counselor referral form. This may be provided by your school, employer, or a counseling center. Make sure you have the correct form before proceeding.
02
Provide personal information: The form will typically ask for your personal information, such as your name, address, phone number, and email. Fill out these fields accurately and legibly.
03
Indicate the reason for the referral: Specify the reason why you are seeking counseling services. This could be related to mental health concerns, academic difficulties, career guidance, or any other relevant issues. Be thorough and specific when describing your needs.
04
Choose a preferred counselor: Some referral forms may ask you to indicate a preferred counselor, if applicable. If you have a specific counselor in mind, provide their name or any specific criteria you may have. Otherwise, you can leave this section blank.
05
Provide additional information: The form may include sections where you can provide additional information about your situation or any specific concerns you would like the counselor to address. Take your time to provide clear and concise details.
06
Sign and date the form: At the end of the form, there will usually be a section for your signature and the date. Make sure to sign the form and date it accurately. This signifies your consent to seek counseling services.

Who needs a counselor referral form?

01
Students: Students may need a counselor referral form if they are seeking counseling services at their school. This could be for academic, personal, or career-related issues.
02
Employees: Some workplaces offer employee assistance programs that provide access to counseling services. Employees who wish to utilize these services may be required to fill out a counselor referral form.
03
Individuals seeking professional guidance: Anyone who feels they could benefit from counseling services, such as therapy, career counseling, or mental health support, may need to complete a counselor referral form. This can help connect them to the appropriate professionals.
It is important to note that the specific requirements for a counselor referral form may vary depending on the organization providing the form. Always follow the instructions provided and seek assistance if needed.
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The counselor referral form is a document used to refer a person to a counselor or mental health professional for support or therapy.
Anyone who believes a person can benefit from counseling or therapy can file a counselor referral form.
To fill out a counselor referral form, one must provide the individual's information, reason for referral, and any pertinent details.
The purpose of the counselor referral form is to facilitate the process of connecting individuals with the appropriate mental health support.
The counselor referral form must include the individual's name, contact information, reason for referral, any relevant background information, and the desired outcomes.
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