Behavioral Intervention Consent Form

Dear Parent/Guardian, 

As part of our dedication to creating a supportive environment that encourages personal and academic development, we are providing targeted counseling sessions for students who may require extra assistance.

These sessions are designed to provide additional support in areas such as emotional regulation, social skills, stress management, and academic strategies. Our goal is to equip our students with the tools and strategies needed to navigate their school years successfully and lay a strong foundation for their future.

Counseling sessions will be scheduled during school hours, one or two sessions per week, lasting 20-25 minutes. These sessions can be one-on-one or in small groups and are free of charge. When needed, we will conduct an in-class observation that will help us identify the specific areas that require improvement and then proceed with personalized provisions based on our students’ needs. We ensure that all details shared during counseling sessions are kept confidential according to our school policy.

We kindly request your consent before proceeding with the counseling sessions. Your participation in this process is crucial, as it allows us to work collaboratively in the best interest of your child.

If you have any questions or concerns regarding the counseling sessions and/or other provisions that we provide, please do not hesitate to contact us. We are willing to schedule a meeting with you. 

Thank you for your continued cooperation.


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