Dear ,

This letter is a record of our meeting to review the events surrounding your referral to the hospital on . Per my discussion with you and a review of the documentation provided by , you are permitted to return to Kutztown University to resume your studies in the semester. If at some future time you experience difficulties similar to those of December 11, you are expected to contact or accept referral to an appropriate professional trained to work with crises prior to making inappropriate statements or gestures about self-harm. Your signature below indicates your receipt and understanding of this letter.

Best wishes as you continue your studies. I look forward to your progress and your eventual graduation.

Sincerely,

Robert T. Watrous

Associate Vice President and Dean

for Student Services & Campus Life

I have received a copy of this letter and understand its contents.

__________________________________________	______________________________

Date

slm

cc:	Student

Dr. Sharkin

Ms. Mangold

Ms. Gutekunst

Mr. Dahlquist