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Oriole Nation Heals Mental Health Staff Referral Form...It Takes a Village
Student Name:
Your answer
Grade:
Your answer
Members of the school problem solving team may reach out to you to gather more information. Please provide your contact information:
Phone Number
Your answer
Email Address
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Best time to contact you:
Your answer
Areas of Concern
Academic
Behavioral
Emotional
Family
Social
Other:
Brief description of concerns to include length of duration:
Your answer
Observations of student (check all that apply)
Anxious/fearful
Distracted
Clinging to adults
Difficulty sleeping
Difficulty concentrating
Excessive worry
Restless/appears on edge
Specified fears/phobias
Aggressive
Avoids reminders of trauma
Exposed to community violence
Irritable/Anxious mood
Hyper-vigilant/jumpy
Nightmares/intrusive thoughts
Sexualized play
Decreased motivation
Depressed/sad
Hopelessness/negative view of future
Loss of interest in activities student once enjoyed
Low self-esteem
Angry towards others/blames others
Argumentative
Constantly moving
Defiant
Disorganized
Inattentive
Interrupts/blurts out responses
Physically aggressive
How often do these behaviors occur?
Once per day
Several times per day
Once per week
Several times per week
Other
What interventions have been attempted? (home and school)
Your answer
Are there interventions currently in place? If so what are they?
Your answer
What do you think would be helpful to the student?
Your answer
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