School Counselor Program Documentation Handbook - Tab 5

Responsive Services and School Crisis Plan

This section provides doumentation of your responsives services, group sessions and your school's crisis plan. It contains sample student referral forms, intervention logs, staff feedback form and a sample crisis plan. Adapt or replace forms with your school-specific forms and your school crisis plan. It also contains the WV guide for reporting child abuse. You might also want to provide a calendar of when you provide groups for your students. Calendar samples can be found in Tab 11.

Sample Referral Form

Sample Referral Feedback Form

Sample Student Referral Log

Group Questionaire - Student Feedback Survey

Sample Informational Brochure - Group Counseling

Group Confidentiality Contract

Sample Group Permission Form

Sample Crisis Team Planning Guide(Tucson)

Crisis Response Resources