Request Support Services
All counseling and support services are provided at no-cost to any SMMUSD child, their family, and the community at large. Services can be requested by filling out a form below or by contacting Wellness Staff directly.
Phone: 310-457-6801 ext 74141
STUDENT REFERRAL FORM
PARENT / GUARDIAN INTAKE FORM
For parents or guardians requesting services for a child.
INDIVIDUAL INTAKE FORM
For adults & community members who are ready to begin services.
OLDER ADULTS INTAKE FORM
For seniors in our community who are requesting services.
FORMULARIO DE REFERENCIA PARA ESTUDIANTES
FORMA DE ADMISION INDIVIDUAL
FORMA DE ADMISION PARA ADULTOS MAYORES
Para adultos mayores en nuestra comunidad que solicitan servicio.