Free Referral Letter for Student Counseling Template
Referral Letter for Student Counseling
Dr. Sarah Smith
Licensed Professional Counselor (LPC)
Counseling Services Department
Lincoln High School
Dear Dr. Smith,
I am writing to refer Emily Johnson, a student in the 10th grade at Lincoln High School, to your esteemed counseling services. She has recently encountered several challenges that require your professional guidance and expertise.
Emily has demonstrated notable changes in academic performance, particularly a decline in grades in subjects such as Mathematics and English. Additionally, she has exhibited withdrawn behavior in social settings, including a reluctance to participate in group activities and a noticeable decrease in interactions with peers. Concerns regarding her emotional well-being have also arisen, as she has expressed feelings of anxiety and sadness during recent conversations.
Recognizing the importance of early intervention and support, we believe that counseling may be beneficial to help address these concerns effectively. We are particularly interested in strategies to enhance Emily’s coping skills and to facilitate a positive transition back to engaging fully in both academic and social settings.
Attached to this letter is a summary of the observations and conversations we have had with Emily and her parents/guardians. This summary provides additional context regarding the specific areas where we feel your expertise could make a significant impact, including improving her self-esteem and managing stress.
Please feel free to contact me at [Your Email] if you require any further information or if there is a need to collaborate in setting up a plan of action to support Emily. I am more than willing to assist in coordinating meetings with her parents or any other necessary parties.
Thank you for your attention and commitment to the well-being of our students. I look forward to working together to ensure that Emily has the support and resources needed for personal and academic success.
Sincerely,
[Your Name]
School Counselor
Lincoln High School
