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Chart #: Apt. Date/Time: School Linked Mental Health Referral Form Child Information Child's name: Sex: Date of Birth: Race: Address: Phone #: School Attending: Grade/Teacher: Special Education: Yes/No
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How to fill out school linked mental health

01
Start by gathering all the necessary information and documents required for filling out the school linked mental health form.
02
Follow the instructions provided on the form or by the school administration to locate the specific sections that need to be filled out.
03
Fill in your personal information accurately, including your name, contact details, and any relevant identification numbers.
04
Provide details about your current school, such as the school's name, address, and contact information.
05
Answer the questions or provide the required information related to your mental health concerns, history, or any previous treatments.
06
If applicable, mention any specific accommodations or support you may require from the school regarding your mental health needs.
07
Review the filled-out form to ensure all the information provided is correct and complete.
08
Sign and date the form, as required.
09
Submit the filled-out form to the designated person or department at your school.

Who needs school linked mental health?

01
School linked mental health services are beneficial for students of all ages who may be experiencing mental health challenges or need support.
02
Students who are struggling with mental health conditions such as anxiety, depression, ADHD, or stress can benefit from school linked mental health services.
03
Students who have experienced a traumatic event or are dealing with difficult life circumstances can benefit from these services.
04
School linked mental health services are also valuable for students who require additional support in coping with academic pressures or social issues.
05
Both students who have been diagnosed with a mental health condition and those who have not can benefit from school linked mental health services.
06
Ultimately, anyone who feels they could benefit from emotional support, counseling, or mental health interventions within the school setting can make use of these services.
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School linked mental health is a program that provides mental health services to students within the school setting.
School administrators, counselors, and mental health providers are required to file school linked mental health.
To fill out school linked mental health, one must report on the mental health services provided to students within the school.
The purpose of school linked mental health is to address the mental health needs of students and provide support within the school environment.
Information such as types of mental health services provided, number of students receiving services, and outcomes of the services must be reported on school linked mental health.
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