Santee School District Counseling Program
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
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