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If a student expresses suicidal (self-harm verbally or in writing), homicidal (harm another person verbally or in writing), or child maltreatment (sexual abuse, physical abuse, or neglect)  please complete The Columbia ASSESSMENT and contact Crisis Team (JB or Melinda) immediately.

Public Health Referral

Are you expereincing any thoughts of hurting yourself or someone else? If yes, please complete the Columbia Assessment above.
Does your family needs help with getting groceries, or paying late rent or utilities?
Adverse Childhood Experiences (leave black if none)
Are you interested in starting counseling services?

Thanks for submitting!

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