Fillable Online behavioralhealthresources Referral bFormb 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Section 1, where you will enter your high school's name, SAT code, street address, city, state, ZIP code, and website address. Ensure all information is accurate for proper identification.
3. In Section 2, carefully read the Data Use Agreement details. Understanding these terms is crucial as they outline your responsibilities and the confidentiality of the data.
4. Proceed to Section 3 to list employees who will access data. Fill in their first name, last name, email address, and direct telephone number for each individual.
5. If applicable, complete Section 4 by listing any secondary partners who have permission to review student data. Provide their names and contact information.
6. In Section 5, the principal or superintendent must sign digitally. Ensure that all required fields are filled out accurately before submitting.
7. Finally, follow the instructions in Section 6 to submit the completed form via email from the principal/superintendent’s official email address.

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