Reasonable Suspicion Report Form - Bacon Elementary School
1. Call the Nurse 2. Call the Administrator 3. Fill out This Form (Form SA 1 Confidential)
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Your Name (confidential) *
Name of Student (first and last): *
Briefly Describe the student's behavior: *
OBSERVE APPEARANCE: Please check all that apply *
POSSESSION OF: Please check all that apply *
****A copy must be sent to the Doctor or hospital
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