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LSC - Referral Form

Student Information

Need assistance?

Fill out this form and a CIS team member will respond to your request within two business days. 

CIS hours are Monday through Friday 8:00 am - 4:00 pm. We are closed on all school holidays.

This form is NOT for emergencies. In case of an emergency, please contact 911

Thank you for contacting Communities In School of Houston.
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7. Please let us know what you need help with. Feel free to select multiple boxes.  *This question is required.
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