1. Counseling Services Summary Resources/Community Referrals:
Name: School Year:
Teacher:
Counseling Services Summary
Individual Sessions
Start Date:
Frequency:
Topics:
Strengths:
Groups:
Social Skills
Decision Making
Friendship
Study Skills
Anger Management
Divorce
Grief
Other:
Notes:
Consultations:
Parent/Guardian Teacher Administrator Other:
Notes:
Resources/Community Referrals:
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Additional Notes: ______________________________________________________________________________________________________________________________
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