Early Alert
 
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NOTE: Only one student per form to preserve confidentiality.


   
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  Disclosure:
In accordance with the Family Educational Rights and Privacy Act (FERPA), the system is designed to allow referrals to be viewed only by those individuals who have a need to know. The information shared will not become part of the student’s permanent record. In addition, state and federal privacy laws prohibit the unauthorized disclosure of personally identifiable health information.
   
 
 
 
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