ࡱ> gehM  bjbj== "WWl  d f f f f f f $  L   "d d d d  <9.d d 0 d  4 d  SAFE Referral Form For purposes of assisting students who may be at risk, please contact Kimberly Taylor, SAFE Coordinator, at (407)623-1462 ext.231, Room 408. For CHILL Counselor, Heather Galvin, please call ext.236, Room 407. Please check areas of concern and return referral to appropriate mailbox. PLEASE NOTE: Any expression (verbal or written) of suicidal ideation, child abuse, homelessness, hurting others, weapons, and/or suspicious cuts or bruises are all considered EMERGENCIES, and you must contact your SAFE Coordinator, an administrator, law enforcement, or SRO Officer IMMEDIATELY. Student Name_______________________________Date ________________ Grade_____ Race_______ Age_____ Referred By______________________ SAFE ISSUES (Please identify area of concern) ( Suspicion for possible substance abuse ( Anger management issues/ fighting ( Self esteem issues ( Gang involvement ( Homelessness ( Pregnancy ( Sexually acting out/promiscuity ( Excessive Skipping/Failing Grades ( Skipping Classes ( Relationship Issues ( Family Issues ( Children of Substance Abusers (COSA) ( Bullying (Victims and Perpetrators) ( Possible depression, anxiety, or other mental health issues ( Other (please specify)_______________________ EMERGENCIES (Please contact me IMMEDIATELY ext.231) Suicidal ideation Cutting Crying or distraught Hurting others Homelessness/Without Shelter THANK YOU FOR ALL THAT YOU DO! 4B]ABefz{-.UV|}" ~  5>*\ j5>*CJ\>*CJ 5>*CJ\>* j>*U,34\]Aez-U|$a$ |" 4 = S b  $a$ 1h/ =!"#$%|Dd  C zAb\\MMIMS07\taylork1$\My Documents\safe%20logo.jpgR-{yT2_a!gE {DWF{yT2_a!gEJFIF Photoshop 3.08BIM8BIM x8BIM8BIM 8BIM' 8BIMH/fflff/ff2Z5-8BIMp8BIM@@8BIM8BIM 4pVPp JFIFHH&File written by Adobe Photoshop 5.0Adobed            Vp"? 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