Aerial view of campus with Williamsport, the Susquehanna River and Bald Eagle Mountain as a backdrop

Student of Concern Referral Form

The purpose of this form is to provide the campus community with a vehicle to refer students to Counseling Services who are displaying signs of distress. Our intention is to respond as quickly as possible to students in distress, and as much as possible, avoid crisis situations.

*If your concern is an emergency or requires immediate attention due to student safety concerns, please contact the Lycoming College Public Safety office at 570-321-4064 so your concerns can be addressed immediately.

While it is preferable for us to know who is referring a distressed student, you can remain anonymous if you wish. Every effort is made by the Counseling Services staff to balance the need to protect the student’s well-being with the student’s right to privacy. Please note this form will be seen by Counseling Services only as an anonymous email. Any referrals submitted after 4:30pm Monday thru Friday, or anytime Saturday or Sunday, will be reviewed by Counseling Services staff the next business day.

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