Go Back

Learn More

123FormBuilder
Form Templates
Education
Counseling Referral Form

Academic Advising Form
Academic Integrity Form
Academic Performance Questionnaire
Academic Planning Form
Address Verification Form
Admission Enquiry Form
Admission Information Form
After School Club Registration Form
Alumni Membership Application Form
Alumni Registration Form
Alumni Survey
Animal Facts Quiz
Applicant Screening Form
Apprenticeship Cancellation Form
Arrival Form
Attendance Record Form
Attendance Verification Form
Back To School Student Survey
Badminton Registration Form
Beginning of the Year Student Questionnaire
Behavior Monitoring Form
Behavior Rating Form
Book Recommendation Form
Book Registration Form
Book Report Form
Budget Amendment Request Form
Budget Request Form
Bullying Incident Report Form
Bullying Survey
Certificate Request Form
Change Of Advisor Form
Change of Major Form
Change Of University Form
Charitable Pledge Agreement Form
Cheerleading Registration Form
Child Behavior Questionnaire
Child Care Observation Form
Child Profile Form
Childcare Registration Form
Class Registration Form
Classroom Observation Form
College Admission Form
College Application Form
College Registration Form
Committee Registration Form
Computer Class Registration Form
Continuing Education Survey
Cornell Notes
Cosmetology School Application Form
Counselor Evaluation Form
Course Add Drop Form
Course Approval Form
Course Change Form
Course Evaluation Form
Course Evaluation Survey
Course Proposal Form
Course Substitution Form
Course Transfer Form
Course Withdrawal Form
Credit Transfer Form
Cruise Parental Consent Form
Current Event Summary Form
Data Collection Form
Daycare Enrollment Form
Daycare Incident Report Form
Degree Certificate Form
Dietary Requirements Form
Disability Verification Form
Discipline Documentation Form
Dissertation Proposal Form
Educational Trip Form
Educator Profile Form
Enrollment Confirmation Form
Enrollment Verification Form
Enrollment Verification Form
Ethical Approval Form
Event Recording Form
Exam Registration Form
Faculty Evaluation Form
Faculty Feedback Form
Field Trip Permission Form
Food Allergy Form
Functional Behavior Assessment Form
General Knowledge Quiz
Grade Book
Graduate Exit Survey
High School Reunion Registration Form
High School Transcript Request Form
History Quiz
Home Visitation Form
Homeschool Attendance Form
Homework Assignment Form
Homework Assignment Sheet
Housing Cancellation Form
Human Anatomy Quiz
Improvement Suggestion Form
Incomplete Grade Form
Independent Study Form
Information Technology Survey
Institution Verification Form
Instructor Evaluation Form
Intent To Graduate Form
Intent to Homeschool Form
Job Placement Information Form
Kindergarten Admission Form
Kindergarten Evaluation Form
Kindergarten Physical Form
Kindergarten Registration Form
Lecture Evaluation Form
Lesson Plan Form
Library Membership Form
Loan Repayment Form
Medical Declaration Form
Medical Teaching Feedback Form
Music Lesson Registration Form
Music School Registration Form
Non Custodial Parent Form
Online Admission Form
Online American History Quiz
Online Biology Quiz
Online Chemistry Quiz
Online Christmas Quiz
Online Geography Quiz
Online Geology Quiz
Online Literature Quiz
Online Physics Quiz
Online Quiz
Online Science Quiz
Online Zoology Quiz
Option Declaration Form
Optional Attendance Form
Parent Contact Form
Parent Engagement Survey
Parent Information Form
Parent Involvement Survey
Parent School Climate Survey
Parent Teacher Conference Form
Parent Verification Form
Parental Consent Form
Parents Feedback Form
Personal Trainer Consultation Form
Personal Trainer Goal Setting Form
Personal Trainer Liability Form
Petition Appeal Form
Placement Feedback Form
Placement Registration Form
Play School Admission Form
Preschool Admission Form
Program Planning Form
Proof Of Enrollment Form
Qualitative Research Survey
Readmission Application Form
Recommendation Request Form
Reflections Student Entry Form
Registration Adjustment Form
Research Proposal Form
Room Reservation Form
Sabbatical Leave Request Form
Schedule Adjustment Form
Scholarship Application Form
Scholarship Recommendation Form
School Admission Form
School Climate Survey
School Club Registration Form
School Competition Entry Form
School Donation Form
School Entry Health Form
School Facilities Survey
School Incident Report Form
School Library Survey
School Lunch Order Form
School Lunch Survey
School Meals Application Form
School Medication Form
School Medication Record
School Open House Form
School Picture Order Form
School Profile Form
School Program Survey
School Records Request Form
School Safety Survey
School Specialty Order Form
School Stress Survey
School Transportation Request Form
School Withdrawal Form
Science Fair Judging Form
Science Fair Proposal Form
Secondary School Report Form
Seminar Evaluation Form
Seminar Registration Form
Session Feedback Form
Student Absence Form
Student Ambassador Application Form
Student Appeal Form
Student Appointment Form
Student Attitude Survey
Student Behavior Tracking Sheet
Student Complaint Form
Student Consent Form
Student Data Form
Student Data Tracking Form
Student Declaration Form
Student Disciplinary Action Form
Student Enquiry Form
Student Enrollment Form
Student Entry Form
Student Exemption Form
Student Feedback Form
Student Finance Application Form
Student Health Record Form
Student Information Change Form
Student Information Form
Student Insurance Claim Form
Student Intake Form
Student Interest Survey
Student Leave Application Form
Student License Form
Student Life Survey
Student Loan Application Form
Student Loan Forgiveness Form
Student Media Release Form
Student Observation Form
Student Performance Assessment Form
Student Pre Registration Form
Student Progress Report Form
Student Quiz
Student Recommendation Form
Student Record Form
Student Registration Form
Student Satisfaction Survey
Student Transfer Application Form
Student Verification Form
Student Visa Application Form
Student Volunteer Application Form
Study Abroad Application Form
Substitute Feedback Form
Substitute Teacher Report Form
Summer Camp Feedback Form
Summer Camp Registration Form
Summer Camp Staff Evaluation Form
Summer Program Application Form
Summer School Registration Form
Teacher Application Form
Teacher Appointment Form
Teacher Appreciation Form
Teacher Assessment Form
Teacher Evaluation Form
Teacher Loan Forgiveness Form
Teacher Observation Form
Teacher Recommendation Form
Teacher Recruitment Form
Teacher Registration Form
Teacher Training Evaluation Form
Teaching Assistant Questionnaire
Team Registration Form
Textbook Adoption Form
Tour Request Form
Training Attendance Form
Training Evaluation Form
Training Registration Form
Training Reimbursement Form
Training Requirement Form
Training Verification Form
Transport Application Form
Travel Assistance Form
Travel Declaration Form
Travel Voucher Form
Trivia Quiz
Tuition Agreement Form
Tutor Request Form
Verification Request Form
Visitor Request Form
Vocabulary Quiz
Work Declaration Form
Work Study Application Form
Writing Evaluation Form

Counseling Referral Form Template

You can use this simple counseling referral form template to obtain a brief description of drug addiction history from your students.

AVAILABLE ON FREE PLAN

This template is available in the FREE plan, with many perks:

100 submissions per month
Digital signatures
Use your own logo and branding
Share and publish it anywhere
Notification emails

Continue with template

Join 1.5 million happy customers that build forms & surveys with 123FormBuilder

Customize template

See how

Modify this counseling referral form template with simple drag-and-drop and other configuration features provided by the 123FormBuilder form building engine. Once you've copied the form template in your 123FormBuilder account, you can start personalizing it.

Publish template

See how

You can embed the counseling referral form on the school's website or share it with other people via its link. The publishing code and link are immediately generated in the publishing section. From there, you can just copy it and paste it where needed.

Collect & manage data

See how

All information is carefully stored in a database that comes with this counseling referral form. There you have full access to manage your data as you please. You can filter the datatable for a certain student and review his/her history and other details that have been filled in the form.

Optimize your flow

See how

Copy this online counseling referral form template in your 123FormBuilder account to use it. If you don't have an account, just click the button to get one. The above form template will be automatically duplicated in your drag-and-drop editor after doing so.