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Youth Harm Reduction Form 

This form is to be used for the purpose of the Youth Harm Reduction (Exploitation Prevention) Program. Once your form is submitted, our team will review and get back to you within 1 business day.

Reminder: No specific student information (including name, gender, etc.) is needed to complete the form.

Student Grade (who you are concerned about):
Which of the following Risk Factors apply in this situation you're seeing with the minior:
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