Showcase Counselling Services
Session on Demand
New Referral to Showcase Counselling Services
* indicates compulsory fields
Gender
male
female
prefer not to say
prefer to self describe
Name of School
School Year
P6
P7
S1
S2
S3
S4
S5
S6
Guidance Teacher / Head Teacher
I'm not sure
I have no free study periods
Study Period 1 Monday
Study Period 2 Monday
Study Period 3 Monday
Study Period 4 Monday
Study Period 5 Monday
Study Period 6 Monday
Study Period 7 Monday
Study Period 1 Tuesday
Study Period 2 Tuesday
Study Period 3 Tuesday
Study Period 4 Tuesday
Study Period 5 Tuesday
Study Period 6 Tuesday
Study Period 7 Tuesday
Study Period 1 Wednesday
Study Period 2 Wednesday
Study Period 3 Wednesday
Study Period 4 Wednesday
Study Period 5 Wednesday
Study Period 6 Wednesday
Study Period 7 Wednesday
Study Period 1 Thursday
Study Period 2 Thursday
Study Period 3 Thursday
Study Period 4 Thursday
Study Period 5 Thursday
Study Period 6 Thursday
Study Period 7 Thursday
Study Period 1 Friday
Study Period 2 Friday
Study Period 3 Friday
Study Period 4 Friday
Study Period 5 Friday
Study Period 6 Friday
Study Period 7 Friday
If possible, an appointment will be arranged to suit.
Appointment Type
in-person
online video call
phone
text session
Would you like an urgent appointment?
Please note: submission of this referral form sends
a notification to the guidance teacher named above.