Refer Someone Anonymously

If you think someone may need support, you can refer them to CMHW

You can refer someone for counselling by one of the following:

1) Filling the form given below.

2) Contacting Head-Admin CMHW : headadmin_cmhw@iitk.ac.in

3) Contacting Head-Clinical CMHW : headclinical_cmhw@iitk.ac.in

4) Contacting Counsellors : counselor@iitk.ac.in

Form

Confidential: Use this if you would like to drop a tip about a friend or an acquaintance. This message would only be accessible to the counsellors.

Name of the person you are concerned about *

Email ID of the person you are concerned about (if known)

Roll Number of the above person (if known)

Phone Number (if known)

Address of the above person (if known)

A short description of the reason of concern and nature of problem

Your Information

Your Name *

Your Roll No. *

Your Email ID (if you are fine with CMHW contacting you)