Mental Health Information Request Form

Pasco County Schools has a variety of mental health services available to our students. If you have concerns for your child's mental wellbeing, a member of the school's Student Services team (School Counselor, School Psychologist, or School Social Worker) can provide you with direction to the appropriate resources.

If you have a mental health concern on a weekend or after hours, you may:
• Text Crisis Line – Text the word Home to 741741
• Call Mobile Response Team (MRT) 727-372-4357
• Call National Suicide Prevention Life Line 800-273-8255 (TALK)
• Call Domestic & Sexual Violence Hotline 352-521-3120

Name Name First Last
Email
Phone Phone - ### - ### ####
Are you interested in learning about the mental health services at your child(ren)'s school or want to request that your child(ren) receive a mental health screening?

Are you interested in learning about the mental health services at your child(ren)'s school or want to request that your child(ren) receive a mental health screening? Yes No
If you answered yes, above select which schools are your child(ren) attending? (Select All That Apply)

You will receive a response within 3 school days.

If you answered yes, above select which schools are your child(ren) attending? (Select All That Apply)

You will receive a response within 3 school days. Achieve Center of Richey Achieve Center of Wesley Chapel Anclote Elementary Anclote High Angeline Academy of Innovation Bayonet Point Middle Bexley Elementary Calusa Elementary Centennial Elementary Centennial Middle Charles S. Rushe Middle Chasco Elementary Chasco Middle Chester W. Taylor Elementary Connerton Elementary Cotee River Elementary Crews Lake Middle Cypress Creek High Cypress Creek Middle Cypress Elementary Deer Park Elementary Denham Oaks Elementary Double Branch Elementary Dr. John Long Middle Dr. Mary Giella Elementary East Pasco Education Academy - James Irvin Campus Fivay High Fox Hollow Elementary Gulf Highlands Elementary Gulf High Gulf Middle Gulfside Elementary Gulf Trace Elementary Hudson Academy Hudson High Hudson Primary Academy James M. Marlowe Elementary James W. Mitchell High Kirkland Ranch Academy of Innovation Kirkland Ranch K-8 Lacoochee Elementary Lake Myrtle Elementary Land O Lakes High Longleaf Elementary Mittye P. Locke Early Learning Academy Moon Lake Elementary New River Elementary Oakstead Elementary Odessa Elementary Pasco Elementary Pasco Eschool Pasco High Pasco Middle Paul R. Smith Middle Pine View Elementary Pine View Middle Quail Holow Elementary Raymond B. Stewart Middle Richey Elementary River Ridge High School River Ridge Middle Rodney B. Cox Elementary San Antonio Elementary Sanders Memorial Elementary Sand Pine Elementary Schrader Elementary Seven Oaks Elementary Seven Springs Elementary Seven Springs Middle Shady Hills Elementary Starkey Ranch K-8 Sunlake High Sunray Elementary Trinity Elementary Trinity Oaks Elementary Veterans Elementary Watergrass Elementary Wesley Chapel Elementary West Zephyrhills Elementary Wiregrass Elementary Woodland Elementary Thomas E. Weightman Middle Wendell Krinn Technical High Wesley Chapel High West Pasco Education Academy - Harry Schwettman Campus Wiregrass Ranch High Zephyrhills High Other