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Savannah Technical College
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CARE Report Form
CARE Report Form
Instructions: Fill out *ALL* of the following information:
Name:
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Last
Phone:
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*
I am a(an):
*
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I am requesting that the CARE Team follow up with:
Name
*
First
Last
Student ID # (If Available):
Student 900 number only
Phone (If Known):
Email (If Known):
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*
Alcohol or Substance Abuse Concerns
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Recent Police Contact
Self Injurious Concern
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Please Explain Above Selections:
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