School Counseling Student Referral and Intake Questionnaire

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School Counseling Referral Form includes:
Contact Information
Reason for Referral: Behavior, Relationships, School, Home...
Interventions Attempted
Space for more detailed notes

The Intake Questionnaire is intended for the first session with a student. It includes questions about interests, school, home, relationships, self-image, and life stressors. It's an excellent tool for determining student needs and the direction of future sessions/interactions with the student.

Enjoy! Let me know how you like it and whether you have suggestions for improvements.
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2
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School Counseling Student Referral and Intake Questionnaire
School Counseling Student Referral and Intake Questionnaire
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