Counseling Referral
Counseling Referral
Please complete this report form for any concerns about a person who has discussed or demonstrated depression, suicidal thoughts, self-harm, stress, or other areas in which the person might benefit from the free counseling service offered by Three Rivers College.  Three Rivers College takes these reports seriously and will take steps to provide assistance as warranted. You may contact Dean of Student Services, amatthews@trcc.edu, to follow up or if you have questions. Please note these forms are not intended to report emergencies. In case of emergency, please call 911.
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  1. Your name and contact information is needed to respond to you or involve you in the process.
  2. Decribe as best you can where the incident happened or was first noticed.
  3. Press the ADD button after entering a name and/ or student ID # to include a student or other person who is involved in this incident.
  4. Describe what happened as best you can. You can also cut and paste from another source if you like.