CTASD Referrals to R.E.A.C.H.
Please complete and submit this referral form. This form will be sent directly to a R.E.A.C.H. team member who will contact the parent/guardian and student listed on the form Monday through Fridays 8am to 4pm.  During this initial contact, information will be gathered to better understand the student need and schedule a formal intake to begin counseling or social support services. We will provide answers to any questions you may have at that time and work together to develop an initial plan for support.                                                                                                                                                                                              If the student need is urgent, please contact the School Counselor at 814-479-4014 or contact a R.E.A.C.H. Therapist through texting or a phone call to our CT Tribe Line: 814-248-0726
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Student Name *
Student Date of Birth and/or Grade *
Parent or Guardian Name *
Name of individual referring *
Initial Reason for seeking support *
Do you need someone to connect with you: *
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