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MENTAL HEALTH

A. Licensed Mental Health Professionals


Number of Registered Guidance
Schools Division Offices (SDO) Number of Registered Psychologist
Counselor

B. Other Certified Mental Health Professionals


Number of Trained Perso
Formal Certified Training
Health Personnel Other Non-Teachi

C. Capacity Building Activities Conducted


Participating Schools Division No. of Participating Schoo
Activity Conducted (Specify title of activity)
Offices Elementary

D. Suicide Issues
Name of Learner Age Gender Civil StatusNationality Religion

Prepared By:

NURSE II
H
Number of
tered Psychologist Licensed Other (Specify)
Psychometrician

er of Trained Personnel
Other Non-Teaching Personnel Teaching Personnel

Participating Schools Number of Participants


High SchoolsNon-Teachimg Personnel Teachers Learners

Date of Incident Means of Suicide School District

Noted By:
_____________________________________
MEDICAL OFFICER II

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