Self-Referral Form D-Hi

 
 
  

 
  Is this an emergency or crisis?
   
  Counselors are prepared to hold phone, virtual or in-person conferences with students. Please submit this form if you have a routine academic, social/emotional or career/college planning concern.

Do not submit this form if this is an emergency or crisis. If this is an emergency or crisis situation, please contact the nearest caring adult or emergency services so that you can receive immediate assistance.
   
  If this is not an emergency or crisis...
   
  If this is not an emergency or crisis, please complete this form. An S3 staff member will get back to you as soon as possible. Please monitor the email you provide for a reply.
   
 
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 Done