Referral Process

Referral Process


    Any student can request to meet with us, or they can be referred by a teacher, administrator, or parent/guardian. Please do not send students directly to our office unless it is an emergency, i.e., the student is in an obvious state of stress, crying, despondent, etc.  If you have any concerns about a student in your class, please complete the referral form, place the referral in the appropriate counselor’s box, and we will meet with the student as soon as we are available.


    Parents and Staff: 

    Please use this form MPVA Counseling Referral and place in the appropriate counselor's box or click here for an electronic version.



    Please use this form MPVA Student Self-Referral and place in the Counseling Mailbox outside of 104 or you may submit electronically:

    Request to see Mrs. Bolden (6th graders A-L and All 7th graders)

    Request to see Mrs. Alexander (6th graders M-Z and All 8th graders)


    You may also scan the QR Codes below.

    Mrs. Bolden 6th Graders A-L and All 7th Graders



    Mrs. Alexander 6th Graders M-Z and All 8th Graders


Last Modified on October 16, 2019