School Policy Violation Program

Download the forms below for your county to be printed and faxed to Coastal Horizons Center's Prevention Services.

New Hanover County

Parent/Guardian Information
Prevention Referral
Authorization For Use And Disclosure Of Protected Health Information
School Administrator Referral Guidelines
Substance Use Policy Violation Referral

Pender County

Parent/Guardian Information
Prevention Referral
Authorization For Use And Disclosure Of Protected Health Information
School Administrator Referral Guidelines
Substance Use Policy Violation Referral

Brunswick County

Parent/Guardian Information
Prevention Referral
Authorization For Use And Disclosure Of Protected Health Information
School Administrator Referral Guidelines
Substance Use Policy Violation Referral