School-Based Mental Health Therapist
Dr. Jessica Viergutz-Cavagnetto
jviergutzcavagnetto@psd267.org
P: 509.592.7911
F: 509.336.7204
HIPPA
Intake Client Forms PSD
COVID-19 Informed Consent for Telepsychology
Returning Clients--Click Here
- Please mail or drop off the completed intake forms to Pullman High School; Attn: Dr. Jessica Viergutz-Cavagnetto. You may not email these forms
- Hard copies of these forms may be picked up at the Special Services office at the Pullman School District building (240 SE Dexter St, Pullman, WA)
- At least one parent/guardian needs to attend the intake appointment
- Any questions or concerns about the forms can be addressed at the first intake appointment with Dr. Viergutz
Other Resources
School Based Mental Health Operational Manual