CHHS MTSS Recommendation Form
Please use this recommendation form to recommend Cleveland Heights High School Students to School Counselors or School Social Workers for ongoing services.

IF THERE IS AN IMMEDIATE PHYSICAL OR MENTAL HEALTH CRISIS:
DURING SCHOOL HOURS/ ON SCHOOL PREMISES-FOLLOW SCHOOL PROCEDURES
BEYOND SCHOOL HOURS/ NOT AT SCHOOL- CALL 911
Email *
Name of Person submitting this recommendation *
Phone Number of Person submitting this recommendation *
Email address of person submitting this recommendation *
Preferred method of contact *
Your relationship to the student being recommended for services: *
Primary Type of Wellness Concern *
Additional Types of Wellness Concern *
Required
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