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Los Angeles Unified School DistrictSTUDENT HEALTH AND HUMAN SERVICESSCHOOL MENTAL HEALTH SMH Referral Cover Sheet School/Community Referral DATE:___ From: ___ Name/TitleEmail address: ___ Telephone
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How to fill out schoolcommunity referral

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How to fill out schoolcommunity referral

01
Step 1: Obtain a copy of the schoolcommunity referral form from the school administration.
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Step 2: Read through the form carefully to understand the information required.
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Step 3: Fill out the personal information section, including your name, contact details, and student ID if applicable.
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Step 4: Provide the details of the individual or organization you are referring to the schoolcommunity.
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Step 5: Clearly state the reasons for the referral and the specific issues or concerns you have.
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Step 6: Attach any relevant documents or evidence that support your referral, if necessary.
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Step 7: Review the completed form to ensure all information is accurate and complete.
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Step 8: Submit the filled out schoolcommunity referral form to the designated person or department at your school.

Who needs schoolcommunity referral?

01
Students who are facing academic, social, or behavioral challenges and require additional support or intervention.
02
Parents or guardians who have concerns about their child's well-being or educational progress and seek assistance from schoolcommunity.
03
Teachers or school staff members who identify a student in need of specialized services or resources.
04
Community members or organizations who are aware of a student who may benefit from schoolcommunity's support.
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A schoolcommunity referral is a formal recommendation made by educators or school personnel to involve community services or resources for students who may need additional support outside the school environment.
School personnel, including teachers, counselors, and administrators, are typically required to file a schoolcommunity referral when they identify a student in need of additional resources or support.
To fill out a schoolcommunity referral, one must provide details about the student, the specific concerns leading to the referral, the types of support needed, and any relevant background information that could assist in directing the student to appropriate services.
The purpose of a schoolcommunity referral is to connect students with necessary external resources and services that can aid in their academic and personal development, ultimately fostering a supportive and enriching environment.
Information that must be reported includes the student's name, date of birth, educational background, specific concerns or issues, and recommendations for support services needed.
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