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SCHOOL Counselor REFERRAL FORM (To be completed by teacher and /OR parent) Name of Student Class Date of referral Person Referring Parents Teacher Has referral been discussed with parent/teacher/child?
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How to fill out school counsellor referral form

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How to fill out school counsellor referral form

01
Obtain a school counsellor referral form from the school administration or guidance office.
02
Read the instructions provided on the form carefully.
03
Fill in your personal information such as name, contact details, and student ID or grade level.
04
Indicate the reason for the referral, providing as much detail as possible about the student's concerns, issues, or needs.
05
Specify any previous interventions, evaluations, or treatments that have been undertaken for the student.
06
Provide relevant background information about the student's academic, social, and emotional history.
07
Include any supportive documentation or reports from other professionals, if applicable.
08
Sign and date the form to confirm its authenticity.
09
Submit the completed referral form to the designated school staff member or department.

Who needs school counsellor referral form?

01
School counsellor referral forms are typically required for students who are facing academic, social, emotional, or behavioral challenges.
02
These forms may be needed by teachers, school administrators, parents or guardians, or other concerned individuals who believe that the student would benefit from additional support or intervention.
03
Students themselves can also request a school counsellor referral form if they feel the need to speak with a counsellor regarding their concerns or difficulties.
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The school counsellor referral form is a document used to refer students to the school counsellor for support and guidance.
Teachers, school administrators, or parents/guardians may be required to file the school counsellor referral form.
The form can typically be filled out by providing the student's name, reason for referral, and any relevant information about the student's situation.
The purpose of the school counsellor referral form is to ensure that students in need of counselling and support receive the necessary assistance.
Information such as the student's name, grade, reason for referral, and any relevant details about the student's situation may need to be reported on the form.
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