Counselor Referral
Counselor Referral
Why should I do it:
- IMPORTANT! You MUST get written consent & permission from the student’s legal guardian before proceeding with school counseling services
- Provides students with more one on one help, support, and intervention
- Increases specificity of interventions and supports and tailors them to the student
- Increases privacy for the student
- Removes the student from the situation or circumstance to discuss solutions to it
- Reduces anxiety and pressure on student
- Provides the student with the full attention of an adult
- Makes student feel secure
- Allows an adult to give a student undivided attention
- Frees the teacher up to continue teaching the rest of the class without having to stop to speak or counsel a student in the hall or away from the class
When should I do it:
- IMPORTANT! You MUST get written consent & permission from the student’s legal guardian before proceeding with school counseling services
- When students are over emotional and cannot calm down in an appropriate and brief amount of time
- When a student’s needs are greater than those the teacher can provide in the classroom setting
- When a student requires more support and attention to address or solve a problem, issues, etc.
- When students need more specific and individualized help, solutions, and plans to address issues
- When a student needs more privacy than a teacher can provide in the classroom
How do I do it:
- IMPORTANT! You MUST get written consent & permission from the student’s legal guardian before proceeding with school counseling services
- Counselor referrals may be planned or spontaneous
- For planned referrals, have the student set up a day or days and times to meet with the counselor ahead of time and provide the student with reminders
- For spontaneous referrals where an incident happens and the student unexpectedly requires counselor support, send the student down to the counselor with a note briefly explaining what happened, or send the student down and call and explain to the counselor the issue
- You may walk the student down or send another student to walk down with the student to the counselor
- The counselor may also come to the room to retrieve the student
- Be vigilant of students abusing counselor referrals as a means to avoid work or something else
- If you suspect students are abusing the intervention, create a card where they have to check off each time they see the counselor, limiting them to a certain number of visits per period, for example 3 visits a week or 1 visit a day, etc.
Resources & Support for technique:
(Items with footnotes link to external websites)
- IMPORTANT! You MUST get written consent & permission from the student’s legal guardian before proceeding with school counseling services
- School Counseling Referral Form.doc 1
- Counseling Referral Form.doc 2
- Role Of The School Counselor 3
- School Counseling Referral Form.doc 4
- School Counselor Referral Form.pdf 5
- School Counselor Referral Form.doc 6
- Counseling Referral Form.pdf 7
- Counselor Forms and Documents 8
- COUNSELOR REFERRAL By Staff Member.docx 9
- COUNSELOR REFERRAL By Student.docx 10
- Referral For Counseling.doc 11
- CONFIDENTIAL SCHOOL COUNSELOR REFERRAL FORM.pdf 12
- “School Counselor Referral Form” Google Image Search 13
Footnotes:
- Waverly-Shellrock. School Counseling Referral Form. [http://www.waverly-shellrock.k12.ia.us/forms/SCHOOL%20COUNSELING%20REFERRAL%20FORM.doc].
- Holden R-III School District. Counseling Referral Form. [http://holden.mo.schoolwebpages.com/education/page/download.php?fileinfo=Q291bnNlbGluZ19SZWZlcnJhbF9Gb3JtLTEuZG9jOjo6L3d3dzEwL3NjaG9vbHMvbW8
vaG9sZGVuL2ltYWdlcy9kb2NtZ3IvN2ZpbGUxMzEuZG9j]. - American School Counselor Association. Role of the School Counselor. [http://www.schoolcounselor.org/administrators/role-of-the-school-counselor].
- Weber School District Student Services. School Counseling Referral Form. [http://webertube.com/document/8878/].
- Pflugerville Independent School District, Delco Primary School. School Counselor Referral Form. [http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=4&ved=0CE8QFjAD&url=http%3A%2F%2Fwww.pflugervilleisd.net%2FDPS%2Fdocuments%2FCounselorReferralForm8-25-10.pdf&ei=1oT2TsuTEeTo0QHU9d28Ag&usg=AFQjCNG2KG-G-JmTz5Kia5g2ThDjluHgfA].
- Knox County Schools. School Counselor Referral Form. [http://sterchi-guidance.sterchies.knoxschools.org/modules/locker/files/get_group_file.phtml?fid=3078691&gid=906100&sessionid=].
- Hillcrest Elementary School. Counseling Referral Form. [http://classroom.dumas-k12.net/users/0271/docs/microsoft_word_-_counseling_referral_form.pdf].
- Shelby County Schools. Counselor Forms and Documents. [http://www.scsk12.org/SCS/departments/Counseling/CounselingForms.html].
- Mineral Wells ISD. COUNSELOR REFERRAL By Staff Member. [http://c2.mwisd.net/cms/lib/TX21000399/Centricity/ModuleInstance/1978/COUNSELOR_REFERRAL_by_STAFF.docx].
- Mineral Wells ISD. COUNSELOR REFERRAL By Student. [http://www.docstoc.com/docs/114767467/COUNSELOR-REFERRAL-By-Studentdocx].
- Washington County Schools. Referral for Counseling. [http://www.wcde.org/education/page/download.php?fileinfo=UmVmZXJyYWxfZm9ybS5kb2M6Ojovd3d3Ni9zY2hvb2xzL3RuL3dhc2hpbmd0b25jby9pbWFnZXMvYXR0YWNoLzIxMDk2LzIwNTgzXzIxMDk2X2F0dGFjaF8yNTkyLmRvYw==].
- Maury County Public Schools. CONFIDENTIAL SCHOOL COUNSELOR REFERRAL FORM. [http://www.mauryk12.org/teachers_staff/MCPS%20SCHOOL%20COUNSELOR%20REFERRAL%20FORM.pdf].
- Google Image Search. School Counselor Referral Form. [https://www.google.com/search?q=school+counselor+referral+form&source=lnms&tbm=isch&sa=X&ei=szRUU7WVG4eoyASeroGICw&sqi=2&ved=0CAYQ_AUoAQ&biw=1248&bih=757].