Gockley Student Assistance Program (SAP) Referral
Gockley Student Assistance Program (SAP) Referral
SAP Referrals are only checked during the school day. If you are making this referral during after-school hours and your concerns are urgent in nature, please contact the Lehigh County Mental Health Crisis Hotline at (610) 782-3127 to receive immediate assistance. If there is a life-threatening emergency, call “911” or visit your nearest emergency room.
All information should be specific, descriptive, observable, and factual.
What is the student's first and last name? *
Your answer
Please check the behavior(s) you have witnessed. *
Required
Please elaborate on the reason(s) for the referral and any other information that would be helpful to the team.
Your answer
Prior to this SAP referral, please check any actions taken to help this student. *
Required
Name and Contact information (Optional)
Your answer
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