Mental Health Support Request
Any student, parent, guardian or anyone with knowledge of a student in need of support in the area of Mental Health please complete the following form. Russellville School District Office of Special Services will contact you via phone as soon as possible. If this is an emergency, please call 911.

If you are having suicidal thoughts please call the Suicide Hotline at 1-800-273-8255 or 1-877-726-4727 to speak to a mental health professional.
Name: *
Your answer
Phone Number: *
Your answer
School: *
Grade: *
Your answer
Concern: *
Your answer
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