Student Services

Health & Wellbeing

If you are worried about a student please complete and submit this form. Please include as much detail as possible to help us respond appropriately.

Click the submit button when you are finished. You will need to complete all sections and submit the form in one session. By completing this form you are consenting to being contacted through the email address you supply on this form.

Required fields are marked with required

Please correct the following errors:
1. About the student
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required
required
2. About you
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required
required
required
required
3. Your concern
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required
Yes No
required
Yes No Unknown

If the student has not given consent to be contacted we will contact you for further information and agree the next steps.

Consent Statement

The information you supply on this form will help us respond to your request, including by phone. We'll treat your personal details with respect and keep them safe, and we'll never sell them to other third parties for commercial use. Please review our privacy statement for more information about how we use your data.