TSD CARES: HOW CAN WE HELP?

PLEASE NOTE: This form is not a crisis line. If you are in need of emergency help, please call one of the following resources for immediate assistance, call 911 for emergency police or medical services.

Common Ground Crisis and Resource Center at (800) 231-1127. The crisis center operates 24 hours a day, 7 days a week.

Domestic Violence Crisis Line (Haven) at 248-334-1274 or 877-922-1274.

Oakland County Suicide Prevention at 800-231-1127, (offers chat and text). The crisis line operates 24 hours a day, 7 days a week.

Michigan Department of Health and Human Services “warmline” at 888-PEER-753 (888-733-7753). The warmline will operate 7 days a week from 10:00 a.m. - 2:00 a.m.

OAKLAND COUNTY NON-HEALTH HOTLINE (FINANCIAL HELP/BASIC NEEDS): 248-858-1000

This form is intended to connect you with the appropriate member of our TSD Cares Team who will reach out to with resources and a personal contact to help you through this difficult time.

What is your name*

Email Field

What is the best number to reach you?

What is the name of the child you are concerned about?

If you are concerned about more than one child, please list each child

Select List

What can we help you with?

I have questions about my child's academic program/progress. I have concerns about my child's social/emotional well-being. I need help with food and basic necessities. I need help with technology issues for my child. I need to provide social work/psychologist/counselor with informed consent Other

Please specify what you mean by "other."

INFORMED CONSENT

Consent to Virtual Counseling Services: *

By submitting this form, I consent to the Counselor/School Psychologist communicating with my student over virtual platforms such as Zoom. I understand there are limits to confidentiality in a virtual counseling setting, although the School Professional will attempt to mitigate these limitations.

Yes, I consent

What best describes your primary concern?

Anxiety/Fears Work Refusal Grief and Loss Other

Please specify what you mean by "other."

Does your child receive additional support at school

Yes No

INFORMED CONSENT

Consent to Virtual Counseling Services: *

By submitting this form, I consent to the Counselor/School Psychologist communicating with my student over virtual platforms such as Zoom. I understand there are limits to confidentiality in a virtual counseling setting, although the School Professional will attempt to mitigate these limitations.

Yes, I consent

Is there anything else you want us to know?