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Student Health Services Referral Form for Student of Concern Phone: 6193882774 Fax: 6193882853 Walk in office: I4209REFERRAL PROCESS: 1. Complete Student of Concern Referral Form and email or fax
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How to fill out student health services referral

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How to fill out student health services referral

01
Obtain a referral form from the school's health services office.
02
Fill out all necessary personal information, including name, date of birth, and student ID number.
03
Provide detailed information about the reason for the referral, including any relevant medical history or symptoms.
04
Obtain any necessary signatures from parents or guardians if under 18 years old.
05
Submit the completed referral form to the school's health services office for processing.

Who needs student health services referral?

01
Students who require medical attention or treatment beyond basic first aid provided by the school nurse may need a student health services referral.
02
Students with chronic health conditions that require ongoing monitoring or treatment may also need a referral to access specialized health services.
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Student health services referral is a recommendation or request for a student to receive medical attention or treatment from health professionals.
School staff members, teachers, counselors, or parents may be required to file student health services referral.
To fill out a student health services referral, one must provide the student's information, the reason for the referral, and any relevant medical history or concerns.
The purpose of student health services referral is to ensure that students receive appropriate medical care and treatment when needed.
The student's name, contact information, reason for referral, any relevant medical history, and any specific instructions or concerns should be reported on student health services referral.
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