Student of Concern Reporting Form

The UNT Health Science Center cares about our students’ success, not only academically, but emotionally and physically as well. The Health Science Center also strives to provide all students with a campus environment that is conducive to academic endeavors and social and individual growth. Because of our commitment, we strive to provide services across campus that respond to our students’ unique needs. In an effort to increase opportunities to identify students of concern, a Student of Concern Form has been created to capture Care Team referrals, violations of the Student Code of Conduct & Discipline, and Sexual Assault/Sexual Misconduct (Title IX) reports within one central online form. The Student of Concern Reporting Form can be found at: Individuals referring students of concern can select the nature of their report and identify and provide context for the nature of their concern. By utilizing one central referral method, opportunities are created to gather complete and thorough information in an effort to support students in a holistic manner. If you have any questions, please feel free to reach out to Dr. Nicki McGee ( or Dr. Emily Mire (