Near North District School Board
963 Airport Road
North Bay  Ontario  P1B 8H1
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Referral:
Parent Referral ID
Date: 2025-05-09 01:20
Status: Draft
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Parent Request for School Mental Health Support:
What concerns are you having for your child and how do you hope we can help them:
Reason(s) for the referral
Referral Source
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* This is not a crisis support; you may wait up to several days to be contacted after submitting a request for service *

* If your child is having thoughts of suicide, please contact Hands Crisis Line: 1-844-287-9072 or bring them to your local emergency department *

Please tell us who your child is:
First Name
Last Name
Preferred name:
DOB
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Pronouns:
Gender
Postal Code
School:
School Name:
What grade is your child in:
Please tell us how to contact you:
Parent/Caregiver Name:
Parent/Caregiver Phone:
Parent/Caregiver Alternative phone:
Parent/Caregiver Email:
NNDSB Student Well-Being and Mental Health Program Information:

NNDSB's Student Well-being and Mental Health counselling and support services are delivered at school and virtually with your and your child's consent and may include:

     - Consultation with you and school staff (including the Mental Health and Addictions Nurse).

     - Assessment and counselling/intervention.

     - Social Emotional Skills development through classroom, small group, or individual intervention.

     - Advocacy and/or referral to community agencies and resources, if appropriate.

 NNDSB's Student Well-being and Mental Health Program follows court appointed parenting orders on decision making authority. If there is a joint decision-making order in place, both parents/caregivers need to provide consent for service.

 Please note, if your child is currently receiving therapy/counselling services in the community, they are not eligible for identical services within the Near North District School Board.

This program addresses symptoms impacting on social, emotional, and academic success at school. We do not provide service for issues that present only outside of the school environment. Please contact your school for options for community support.

 

 
 
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