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Referral forms

Are you worried about a student?

We have resources to help!

To refer a student to Student Health Services, download and fill out the appropriate form below and email it to Terry Waibel at twaibel@geisinger.edu and Paul Burke at pburke2@geisinger.edu.

If you find yourself or know of a student in crisis and need immediate help, please reach out to emergency services (911), National Suicide Prevention Lifeline at 1-800-273-8255 (TALK) or the Crisis Text Line by texting 741-741.