If you would like your child to receive counseling at school, you will need to complete and informed consent form. Each form contains a page about confidentiality, a page for your signature, and a concerns checklist.
The form can be found below, printed, signed and returned to school. If you do not have access to a printer, please call or email me and I will send a form home with your student.
If you have any questions please call or email the school counselor.
The form can be found below, printed, signed and returned to school. If you do not have access to a printer, please call or email me and I will send a form home with your student.
If you have any questions please call or email the school counselor.
Informed Consent Form | |
File Size: | 137 kb |
File Type: | doc |
Confidentiality
All information will be kept confidential EXCEPT when:
- there is reason to suspect the occurrence child abuse or neglect
- where there is a clear threat to do serious bodily harm to self or others
- where a court intervenes under court order