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  • Counseling Session Record

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    Mary Grace Jerna Artazo Nozal-Cuadra
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    This document is a counseling session form from the Surigao del Sur State University in the Philippines. It collects information about a student such as their name, sex, year/course, address, contact details, and the issues or concerns they are seeking counseling for. The form also has sections to document notes from the counseling session and any remarks or follow up items. It is signed by the guidance counselor after their meeting with the student.

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    COUNSELING-SESSION-RECORD

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    This document is a counseling session form from the Surigao del Sur State University in the Philippines. It collects information about a student such as their name, sex, year/course, address, contact details, and the issues or concerns they are seeking counseling for. The form also has sections to document notes from the counseling session and any remarks or follow up items. It is signed by the guidance counselor after their meeting with the student.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    11 views1 page

    Counseling Session Record

    Uploaded by

    Mary Grace Jerna Artazo Nozal-Cuadra
    This document is a counseling session form from the Surigao del Sur State University in the Philippines. It collects information about a student such as their name, sex, year/course, address, contact details, and the issues or concerns they are seeking counseling for. The form also has sections to document notes from the counseling session and any remarks or follow up items. It is signed by the guidance counselor after their meeting with the student.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Document

    FM-GC-005D
    Republic of the Philippines Code:

    Surigao del Sur State University Revision No: 000


    Tagbina, Surigao del Sur, 8308
    Effective Date: 08/01/2018
    Website: www.sdssu.edu.ph
    Page: 1/1

    COUNSELING SESSION FORM

    Date & Time: _______________________


    Student Name: ______________________________________ Sex: ________________________
    Year & Course: _____________________________________________________________________
    Address: __________________________________________________________________________
    Contact No.: _______________________________________________________________________
    Parents/Guardian’s Contact No.: _______________________________________________________
    I. Issues & Concern

    _____________________________________________________________________________
    _____________________________________________________________________________
    _____________________________________________________________________________
    _____________________________________________________________________________
    _____________________________________________________

    II. Notes from Session

    _____________________________________________________________________________
    _____________________________________________________________________________
    _____________________________________________________________________________
    _____________________________________________________________________________
    _____________________________________________________________________________
    _____________________________________________________________________________
    _____________________________________________________________________________
    _____________________________________________________________________________
    _____________________________________________________________________________
    _____________________________________________________________________________
    _____________________________________________________________________________

    III. Remarks

    _____________________________________________________________________________
    _____________________________________________________________________________
    _____________________________________________________________________________
    _____________________________________________________________________________
    ____________________________________________________________

    DB-JUNE G. AMOLATA, M.A., RGC, RPm


    Guidance Counselor III

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