Your Information



Person of Concern's Information



Incident Information

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

NOTE:

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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