WHS Wellness Tip Line
If you have a concern regarding a student's wellness: mental health, chemical use, social isolation, bullying, harassment, etc. and would like to report this information, please fill out the following form to the best of your knowledge. You may also report your concern in person to an administrator, counselor or social worker.

Please note that this form can be submitted anonymously. However, the more information you provide the better we are able to investigate and support the student regarding your concern.

Knowingly making a false report is a violation of school policy.

All submissions will be taken seriously and addressed during school hours.

Note: This is not a crisis line. Please note that reports received during the summer may not be addressed in a timely manner.

IF THIS IS AN EMERGENCY, CALL 911.
Please describe your concerns in as much detail as possible: *
Your answer
Please include name(s) of the individual(s) involved: *
Your answer
Please include grade(s) of the individual(s) involved: *
Required
Location of incident:
Your answer
Date and time of incident:
MM
/
DD
/
YYYY
Time
:
If you know of other witnesses, please type their names in the box below:
Your answer
Contact Information
Encouraged but not required. The more information you provide the better we are able to investigate and support the student regarding your concern.
Reporter *
Name:
Your answer
Phone Number:
Your answer
Email Address:
Your answer
The School District collects information here to help students be free from harassment and bullying and safe at school. The District will use this information to help students with any issues that are raised. The information may be shared with educators who have a need to know the information to help students or with outside agencies who are required to be alerted or who may assist students. You are not under any obligation to provide information but we encourage you to provide information that may help students have a safe productive educational environment.
By submitting this form, I acknowledge that I have read and understand the above guidelines.
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