Northland Pines School District - New

Please complete this form if you or a student you know is in need of school-based support such as mental health academic, community resources (food,financial,etc.), college or career counseling. A Pupil Services Staff member will respond to this request. This is not a confidential form.

If you are or someone else is in need of immediate assistance, contact 911. Calling 988 Suicide & Crisis Lifeline will provide you with free and confidential support for anyone experiencing a suicidal, mental health, and/or substance use crisis.

Request Support Form

Request Support::

Please recognize this form is not a confidential communication method.

I am a:

(1 required)

Student

Teacher

Parent

Other

Last name of student:

First name of student:

Name of person making referral (if not a student):

Identified Need(s):

(1 required)

Mental Health

Academic Concerns

Community Resources (food financial, ect)

College and Career Counseling

Something Else

To best connect you with the appropriate staff member, please provide a short explanation.

Enter Your Email Address:

I am not a Robot

Additional Resources

The Emergency Service Program (ESP)- 24-hour, 7 day a week, toll free Crisis Line: 1-888-299-1188
The Human Service Center Emergency Service Program is a state-certified program offering services in Forest, Oneida and Vilas Counties. Specially trained staff provide confidential and anonymous telephone counseling, crisis intervention, and information and referral.

Mental Health Crisis Lines
Wisconsin Statewide Crisis Line: 1-866-317-9362
United Way 2-1-1 Services: 800- 924-5514

Abuse Crisis Lines
National Domestic Violence Hotline: 800-799-7233
National Sexual Abuse Hotline: 800-656-4673