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Counselling Referral Form

Online & Telephone counselling appointments will
be offered within 24 hours
The employee is experiencing suicidal ideations or feelings of wanting to self-harm
The employee has previously attempted suicide, or has self-harmed

Please confirm that you have received formal consent from the student to share their personal information for the purpose of this referral.

The employee will be contacted directly and offered an initial appointment
within 24 hours of receiving this referral.

If you have any questions at any time, please email: