Counseling Referral Form

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

123 Form Builder / Form Templates /Education forms /

Use this template

Customize template

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

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

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

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.

Counseling Referral Form

Customize template

Publish template

Collect & manage data

Optimize your flow

Are you looking for a different template?

We have more form templates to choose from

Academic Advising Form

Academic Integrity Form

Academic Performance Questionnaire