Please submit this form for any student experiencing circumstances impacting their personal, physical or emotional well-being, exhibiting behaviors that are a cause for concern, or for a student you believe could benefit from increased support. Please fill out the form with as much information as possible to assist in outreach efforts.
This form is received and collaboratively processed by multiple Student Success units: The Center for Support and Intervention and TRACS Hub (including Basic Needs supports).
If you are the student experiencing distress or difficulties at this time, please complete the form as a self-referral and we will reach out to you directly.
If there is an immediate threat to self or others, immediately contact the University of Kentucky Police Department at (859) 257-8573 (#8573 on your cell). Reports submitted via this form are reviewed during UK's normal business hours and are not monitored after hours, on weekends, or during official University holidays.