Student Substance Abuse Reporting Form

After completion of this form, the report will be provided to Jennifer Venezia, M.A., Alcohol and Drug Counselor -Rosecrance Riverside Brookfield High School

General Information
  1. Please understand, without providing your contact information it may be difficult to pursue this report and to inform you of the status of the situation. If you would like to receive an email update on the status of the situation that you have reported you will need to leave your contact information (email) in this section.