Your Information

Person of Concern's Information

Incident Information

Please provide an objective, concise, and detailed description in ten (10) sentences or less.


While writing your BITA referral, it is very important to only document observable behaviors and facts in the narrative. Avoid subjective feelings, diagnostic labels, and/or derogatory information. This information could be viewed by others so please avoid inflammatory language. Example descriptions are listed in the Sample Descriptions page.

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