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Counselor Check-In

Hello! I'm glad you are checking in with me today!

This is a brief check in so I know how you are doing at home. Please let me know below if you need me to contact you!  Mrs. Johnson

THIS FORM IS FOR NON-EMERGENCIES ONLY. 

Check-In Form 

IF THIS IS AN EMERGENCY, please contact a trusted adult immediately. If a trusted adult is not available, please call the SAMHSA Crisis Line 1-800-662-4357(HELP) or 911.