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SCHOOL FORMS

HEALTH & COUNSELING FORMS​

Counseling Support (Grades K-4)

School Counseling Referral Form – For Parents & Teachers
A confidential form for adults (parents or teachers) to refer a student for counseling support. Only accessible by Miss Howland, your school counselor at Socrates Academy.

Request to See Your Counselor – For Students
A private form for students to request a meeting with Miss Howland. Your information remains confidential unless safety is a concern.

 

Bullying Report Form (Elementary Only)
For parents who wish to report suspected bullying involving elementary students.​

​Student Health & Safety

If your child has a medical condition that requires care during the school day—such as asthma, diabetes, severe allergies, or needs medication (prescription or over-the-counter)—please complete the required forms below. These documents help us create Emergency Action Plans, 504 Plans, and other support strategies to ensure your child’s safety and well-being while at school.

Download the Packet Here

New Student Health Assessment Form
Required for all new students as part of enrollment.

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