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 
Authorization For Use And Disclosure Of Protected Health Information
School Administrator Referral Guidelines
Substance Use Policy Violation Referral
Strengthening Families 10-14 Flyer
Strengthening Families 10-14 Referral Form

Pender County

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

Brunswick County

Parent/Guardian Information 
Authorization For Use And Disclosure Of Protected Health Information
School Administrator Referral Guidelines
Substance Use Policy Violation Referral
Strengthening Families 10-14 Flyer
Strengthening Families 10-14 Referral Form

For more information on substance use and mental health treatment services,
visit Coastal Horizons Center or call 910-343-0145.