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WaHi Student Referral Form
Telebehavioral Health Services at The Health Center
Reach us by email at:
Or by phone at: (509)562-8674
If you have an immediate safety concern, you need to call the crisis line: 509-524-2999 or 9-1-1
The Health Center will respond to this referral within one week.
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Name of Person Completing this Referral
Relationship to student:
Student's First Name
Student's Last Name
Student's Date of Birth
What is the best phone number to reach the student (THC can call but cannot receive or send text messages)?
What is the address where the student is sleeping?
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