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IF YOU BELIEVE A STUDENT IS IN IMMEDIATE DANGER OF HARMING HIM/HERSELF OR SOMEONE ELSE, PLEASE DIAL 911 OR CALL CAMPUS SECURITY AT 405-222-8066.

This form may be used to share concerns about a student's mental health with the Director of Counseling. Expressing concern can help with early intervention and success. 

Reports will be reviewed throughout the day, during regular business hours. It will not be monitored after hours, on weekends or on University holidays. If necessary, your report may be discussed with other campus administrators, such as the Dean of Students, Advisement Specialist, Housing Director and/or the CARE (Crisis, Assessment, Referral and Evaluation) Team.

USAO Counseling Services will acknowledge your concern when it is received.  If you have questions or concerns at anytime, contact USAO Counseling Services a 405-574-1326.

When completing this form, please be as thorough, specific and objective, as possible. We may contact you for additional information.