Mill Park Secondary Student Wellbeing Referral
Referrals will be discussed and allocated between the Wellbeing team.
Once it has been allocated a member of the Wellbeing team will contact you.
**PLEASE NOTE** Referral allocations occur on Tuesday mornings.
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Email *
Relationship to student *
Name of student (as it appears on Sentral) *
Is this a referral to Wellbeing OR a request for a consultation with a member of the team to self manage? (Consultation will only be available for low needs). *
Students contact number *
Senior students only
Year level *
Is the student aware of this referral? (It is important you have the conversation with the student prior to the referral, this helps the welfare team build rapport) *
Are the Parents/Guardians aware of the referral? *
Is an interpreter required?
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Are there any other staff involved in this referral? If so please list them below.
Reason for the referral, what are the key area/s of concern? Please include as much detail as possible. *
What has been done so far to address the concerns?
Is there anything else the Wellbeing team should be aware of?
Please give your priority rank of the student. *
A copy of your responses will be emailed to the address you provided.
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