• Santee School District Counseling Program

    Consent Form

     

    Student ______________________________                               Date _______________

     

    I give permission for my son/daughter to participate in these school counseling services:

     

     _____ Individual Counseling (as needed)         _____ Group Counseling (when available)     

     

    School counseling is a short-term service (6-8weeks) delivered to individuals or groups to help students function more effectively in the classroom and with their peers. The relationship between a student and his or her counselor carries communication privileges and rights to confidentiality. Any information shared by your son or daughter will be kept confidential. There are times when students divulge information that I feel should be shared with parents. I will encourage them to do so or request permission to discuss the matter with a parent or guardian myself. I will do this anytime I feel it is in the best interest of your son or daughter. There are also several situations in which I am required by law to share details of a counseling session with the appropriate authorities. 

     

    School Social Worker contact information:

    Carrie Thompson, MSW, PPS

    T: 619.258.4859

    E: carrie.thompson@santeesd.net 

    Availability at Chet F. Harritt Tuesday, Thursday and Friday  & Carlton Oaks Monday and Wednesday                    

     

    * School counseling is not on-going mental health therapy. For serious concerns please contact Carrie Thompson for outside counseling resources.

     

    ** Due to limited days on campus, students may be put on a waiting list based on severity of need and school counseling availability.

     

     

    Please complete and return form to your child’s teacher or Ms. Thompson

    Parent/Guardian Name: ___________________________________________________

    Parent/Guardian Signature: _______________________________________________

    Parent/Guardian Home Phone: _________________ Cell Phone: _________________

    Email Address: _________________________________________________________

    Preferred Contact Method (circle one):                     Phone                                      Email