Care Referral Form

If you believe that this is an emergency situation, including an imminent threat of harm to self or others, please call the UNC Police Department at 919-962-8100 or call 911. The submission of a Care Referral Form will not address an emergency situation. 

You are encouraged to submit a Care Referral Form to report any concerns you have for a student. You referral will be assigned to a member of staff in the Dean of Students office for review and response within two business days. Please include as much relevant information as possible. 

If your concern involves discrimination and harassment, including sexual and gender-based harassment, sexual violence, interpersonal violence, or stalking, please submit an EOC Report Form.

If you would like to speak with a staff member during normal business hours to discuss your concern, please call 919-966-4042.

Care Referral

Your Information

Individual you are concerned about

Emergency Needs

If you are experiencing a medical emergency or there is immediate danger of harm, call 911 or visit a hospital emergency department and explain that you need support for a mental health crisis.

Crisis/Urgent

If you or someone you know needs to talk to someone right now:

Non-Urgent Needs

Please continue to the Care Referral form.

I Understand