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CONFIDENTIAL SCHOOL COUNSELOR REFERRAL FORM Students Name ___Grade___Parent/Guardian Name ___Home Phone ___Referred by: ___ Teacher___Other___Admin___ParentReasons for Referral / Concerns related
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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
Obtain the confidential school counselor referral form from the school office or school counselor.
02
Fill out the student's name, grade, and reason for the referral on the form.
03
Provide any additional information or concerns about the student that you believe the counselor should know.
04
Sign and date the form to authorize the referral.
05
Return the completed form to the school office or counselor in a sealed envelope to maintain confidentiality.

Who needs confidential school counselor referral?

01
Students who are experiencing emotional, social, academic, or behavioral challenges and would benefit from the support of a school counselor.
02
Teachers, parents, or school staff who have observed signs of distress or concern in a student and believe a counselor intervention is necessary.
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The confidential school counselor referral is a process where school counselors refer students to appropriate support services while keeping the information confidential.
School counselors are required to file confidential school counselor referrals on behalf of students in need of support.
To fill out a confidential school counselor referral, counselors typically gather information about the student's situation, assess their needs, and make a recommendation for support services.
The purpose of confidential school counselor referral is to connect students with the necessary support services in a confidential manner to assist them in their academic and personal growth.
Confidential school counselor referral typically includes information about the student's background, reason for referral, and recommendations for support services.
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