Appointment Request Form

There are many reasons you may be reaching out for support and help. By completing the form below, you are consenting to be contacted by one of the School-Based Therapists at Torrance High School.

Student Wellness Center
Appointment Request Form

This form is for Torrance High School students, parents, and staff to request or recommend mental health services. The THS mental health therapist provides weekly, short term, crisis, and group therapy services as well as parent/staff consultations.

Virtual counseling is available Monday-Friday from 8:00 am-4:00 pm.

We will respond to your request as quickly as possible. Please note that we will only check this form during school hours. For additional resources, visit thscounseling.com

*IF YOU HAVE AN EMERGENCY AND NEED IMMEDIATE HELP, PLEASE CALL 9-1-1 or GO TO THE NEAREST EMERGENCY HOSPITAL. You may also use the following resources:
- Suicide Prevention Lifeline: (800) 273-8255
- Crisis Text Line: text word “HOME” to 741-741
- Didi Hirsch Mental Health Services: (877) 727-4747
- LA County Mental Health Services: (800) 854-7771
- The Trevor Project: (866) 488-7386

Student's name

Student ID

Name of person making request

Email of person making request

Requestee's role

Grade of student

Is there any information you would like to share with the therapist before the meeting? If so, please share below.

Thank you for your referral. We will contact the student within 2 schools days after submission. If you have not received a follow-up email from our therapists, please email angele.brianna@tusd.org. Thank you.

Appointment Request Form

Student Wellness Center Appointment Request Form

Torrance High School's Counseling Department

Student Wellness Center
Appointment Request Form