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This document serves as a referral form for students requiring behavioral health services within the Bath County Public School system. It collects information regarding the student\'s behaviors, concerns, and consent for services.
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How to fill out referral form school staff

01
Gather relevant information about the student, including their name, grade, and contact details.
02
Identify the reason for the referral, specifying any behaviors or academic concerns.
03
Fill in the date of the referral and the date of the incident(s) being reported.
04
Provide a detailed description of the observed behavior or incidents, including specific examples.
05
Complete any sections related to previous interventions or support provided to the student.
06
Include the names of any other staff members involved in addressing the concerns.
07
Sign and date the form before submitting it to the appropriate school authority.

Who needs referral form school staff?

01
Teachers who observe concerning behaviors in students.
02
School counselors who identify students needing additional support.
03
Administrators responsible for tracking student wellbeing.
04
Special education staff needing to coordinate services for students.
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A referral form for school staff is a document used to formally refer a student for additional support or intervention by educational professionals.
Typically, teachers, counselors, and other school staff who identify a student in need of extra assistance or specialized services are required to file a referral form.
To fill out the referral form, staff should provide detailed information about the student's behavior, academic performance, and any concerns, along with observations and suggestions for support.
The purpose of the referral form is to initiate a process for assessment, support, or intervention for a student who may be facing challenges in their educational environment.
The referral form must include the student's name, grade, specific concerns, observations, previous interventions attempted, and any relevant background information.
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