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The Northwest Catholic District School Board SCHOOL BASED COUNSELLING REFERRAL FORM_________Date of Referral___ Referral Source and Email AddressRelationship to Student___ Students Last Name___ Students
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How to fill out school based counselling referral

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How to fill out school based counselling referral

01
Start by obtaining the school based counselling referral form from your school's counselling office.
02
Fill out the student information section, including the student's name, grade, and contact information.
03
Provide a brief description of the reason for the counselling referral. Be specific and include any relevant information or concerns.
04
Indicate the desired outcome or goals for the counselling sessions, if applicable.
05
If there is a preferred counsellor, mention it on the form. Otherwise, leave it blank.
06
If there are any specific accommodations or support services required for the student, clearly state them on the form.
07
Review the completed referral form to ensure all required fields are filled accurately.
08
Submit the filled out referral form to the school's counselling office or the designated personnel.
09
Await further communication or follow up from the school's counselling department regarding the referral.

Who needs school based counselling referral?

01
Any student who is facing social, emotional, behavioural, or academic challenges may require a school based counselling referral.
02
Students who are experiencing bullying, anxiety, depression, relationship issues, academic stress, or any other mental health concerns may benefit from school based counselling.
03
It is important to remember that the decision to seek counselling support is ultimately up to the student and their parents or guardians.
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School based counselling referral is a process through which students are referred to counseling services offered within the school setting to address emotional, social, or behavioral issues.
Typically, teachers, school counselors, and administrative staff are required to file school based counselling referrals when they identify a student in need of counseling services.
To fill out a school based counselling referral, one should provide the student's personal information, describe the concerns or issues observed, note any relevant background information, and indicate any previous interventions or support provided.
The purpose of school based counselling referral is to connect students in need of support to appropriate counseling resources to help them manage their challenges and improve their well-being.
Information required on a school based counselling referral typically includes the student's name, grade, specific concerns or behaviors, previous interventions, and signatures of the referring staff member.
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