This form should only be used if you don't want your name shared. If you want a counselor to visit with us please fill out the counselor call form.
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Give us an idea of what's going on. Please include names of anyone involved that you are willing to share (first and last). *
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We will try to take care of this as soon as possible. Please report this again if things do not improve within a week. If there is a dangerous situation, report this IMMEDIATELY! - Mr. Acuña and Mrs. Lewis
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