Parentification has been found to impact both the short- and long-term physical, mental, and social/emotional well-being of children and adolescents and can be viewed as a social determinant of health. The COVID-19 pandemic has only compounded these effects. We demonstrate how school counselors are uniquely positioned to identify and assist parentified students. Using a multitiered approach, we suggest school counseling strategies and interventions that support this vulnerable group of students.