BTPS Social Emotional Coach Program (SEC) Parent Referral Form
Please fill out this form if you are interested in Social Emotional Coach services for your child.

Please note that a completed referral form does not guarantee SEC program enrolment, but rather allows the SEC program to assess your child's unique needs and make appropriate service recommendations.

The information submitted in this form is viewed and held confidentially by the Social Emotional Coach Program.

If you would prefer to not complete this form but would like information about our program, you may speak directly to your school's Social-Emotional Coach by calling or emailing your school.
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