Get Referral School

Filling out the Referral School form is an important step in addressing concerns about a student's well-being. By following this guide, you can efficiently complete the form online to ensure that any issues are reported and managed appropriately.

Follow the steps to fill out the Referral School form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering today’s date. This helps establish when the referral is made for accurate record-keeping.
3. Indicate the time of day when completing the form. This will provide context for the report.
4. Fill in the name of the person reporting the concern in the ‘Reported by’ section, along with their position within the school.
5. Provide a contact phone number for the reporter to facilitate follow-up if necessary.
6. Identify the room number or location relevant to the concern being reported.
7. Enter the name of the student involved, marking whether they are male (M) or female (F), and their student ID number.
8. Indicate whether you know a family contact person and provide their name and phone number if applicable. Mark if it is a home or work contact.
9. Fill in the date and time of the occurrence related to the concern.
10. Describe the problem or concern in detail in the designated space provided. If necessary, you may continue on the reverse side.
11. Assess whether the student is an immediate danger to themselves or others and indicate your level of concern (immediate action needed, moderate need, yes, no, or unknown).
12. For office use, indicate the actions taken and the primary referral made. This may involve selecting from options such as AP, SRO, or Counselor.
13. Print your name and sign the form to validate the report.
14. If applicable, record any secondary referrals made for further assistance.
15. Document feedback given to the initial referrer and any parent contact that was made, including dates.
16. Once the form is completed, ensure to save your changes, download, or print a copy for your records before submitting it.

Complete your Referral School form online today to ensure the necessary steps are taken for student support.