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institution of higher learning, provide that student the
opportunity to authorize in writing the disclosure of certain
private mental health information to a designated person.
(b) The institution may disclose the student's mental
information if a physician, clinical psychologist, or
qualified examiner who is employed by the institution of higher
learning makes a determination that the student poses a clear
danger to himself, herself, or others to protect the student or
other person against a clear, imminent risk of serious physical
or mental injury or disease or death being inflicted upon the
person or by the student on himself, herself, or another.
The physician, clinical psychologist, or qualified
examiner shall, as soon as practicable, but in no more than 24
hours after making a determination under this Section, attempt
to contact the designated person and notify the designated
person that the physician, clinical psychologist, or qualified
examiner has made a determination that the student poses a
clear, imminent danger to himself, herself, or others.
Preparation of authorization form.
institution of higher learning shall prepare a form for the
purpose of such authorization and shall create a policy and
supporting procedures to ensure that every new student is given
the opportunity to complete and submit the form if he or she so
desires. The form shall provide a space for the student to
affirmatively authorize, or decline to authorize, the