Session Form (Cedar Rapids) Assigning Team Leader: Peer Support Team Member Conducting Session: Personnel Pin # for Session: Date and Time Length of Session 15 Minutes 30 Minutes 45 Minutes 60 Minutes OT Required? Other Length of Session: Other Location of Session Police Department Telephone Squad Car Other Location of Session: Other Type of Personnel You Worked With: Active LE Civilian Retired LE Spouse/Significant Other/Family Member Dispatcher Other Type of Personnel You Worked With: Other General content of the session(Include case # if applicable): Did you refer this person for additional help? What recommendations were made? Any other information that the Peer Support Team Leader should know regarding your session? HiddenParameter for testing, please do not remove.This hidden field is used for conditional logic. When the parameter ‘?test=yes’ is used, it will display the testing field below. ENTER EMAIL FOR TESTING*Please enter the email address you would like to send this PDF to. This will override the default notification recipient.
