BRIDGE Referral Form

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IF THIS IS AN IMMEDIATE CONCERN FOR SAFETY OR A THREAT TO LIFE, PLEASE CALL 911.

This form is not monitored 24/7 and should not be used to notify law enforcement of an emergency. After contacting 911 and ensuring immediate safety, please complete this form to alert the BIT of the concern. This referral resource is monitored during normal business hours (9:00 AM - 5:30 PM Monday through Friday, except for school breaks/holidays).

If you have any questions regarding this referral form, please visit or contact the Dean of Students. 

If the behavior/concern does not improve or worsens, please submit another referral to alert the BIT that additional support may be needed.

Please contact the BRIDGE team at bitcareteam@sfbu.edu. 
Referral Information
You may submit this referral form anonymously; however, anonymous reporting may limit the institution's ability to respond effectively. We highly recommend including your name and contact information. Individuals outside of the institution are welcomed and encouraged to submit referrals. All efforts will be made to maintain the privacy of individuals involved in a referral, including the referral source. If you would like to remain anonymous, every effort to maintain the anonymity will be made, but it cannot be guaranteed.
Referrer's Information




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Person of Concern Information




Incident Details







Involved Parties


Referral Description
Provide as much detail as possible regarding the behavior(s) or concern(s) that prompted this referral. Checkboxes are not required fields. If you are unsure what to check, select other and type a narrative in the open text box. If you have any questions, please consult the Dean of Students for guidance.








Supporting Documentation