Bilay National High School
GUIDANCE CENTER AND TESTING OFFICE (GCTO)
COUNSELING FORM
Date:
Name of Student:
Year & Section:
Contact No.:
Nature of visit (please check): [ ] Walk-in [ ] Referral:______________________
Problem(s)/ Concern(s)
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Action Taken/ Recommendation(s):
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Follow up:
Date(s):___________________________________
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Counselee Guidance Counselor
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Counseling Slip
Name of Student: Date:
Grade & Section:
Session ended:
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Guidance Counselor