School Counselling Self Referral Form 2025-26
If you feel you would like to speak to the school counsellor about any issue that is affecting you then please use this form to make a referral.
Hi, Caroline. When you submit this form, the owner will see your name and email address.
Required
1.First Name
2.Last name
3.Form Class
4.If you would like to provide a reason for wishing to see the counsellor, you may do so below. However, there is no requirement for you to do this.
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