2020/21, SOTA Wellness Center Student Referral Form
Thank you for making a referral to the Wellness Center. IMPORTANT-If this is an emergency or crisis please call 911.

Please understand that most services offered to students at the Wellness Center are confidential. Therefore, information can only be shared within the guidelines of the Wellness Initiative's Privacy Policy. We will give you feedback after a Wellness Team member meets with the student regarding your concerns.

Please be advised that you are a mandated reporter and should contact Child Protective Services directly to consult, and complete a Wellness referral, if you suspect neglect or abuse.

Academic Concerns: please refer student to the School Counselor, Clint Calimlim, Carissa Jow, or Beth Alberts
Behavior Concerns: please refer to Omar Amador or Eva Kellog
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