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Forms To Request Services

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Please use the following forms to submit a request for services.

FORMS IN PDF FORMAT:

Referral by School Staff Form

Referral by School Counselor Form

Parent/Guardian Consent Form

Staff or teachers referring students for services must submit a "Referral by School Staff Form" to the counselor or school nurse.

All referrals submitted by a school counselor or nurse should accompany the "Referral by School Counselor From" and the "Parent/Guardian Consent From". 

Email referrals to sbmh@ehnelpaso.org