This form is for the confidential referral to the school social worker, Candice Clarke. The school social worker assists families in identifying and addressing barriers to school attendance, connects families to school and community resources, and refers qualifying families to McKinney-Vento (a federal program for families without stable housing).
*This form is not for reporting emergencies. Please call 911 immediately if this is an emergency.
*If you suspect abuse or neglect of a child, you are required by law to notify the Tennessee Department of Children's Services at
https://apps.tn.gov/carat/ or 877-237-0004.
*Below are contacts if you or someone you know is experiencing a mental health crisis:
National Suicide Prevention Lifeline 1-800-273-TALK (8255)
The Lifeline provides 24/7, free and confidential support.
Tennessee Suicide Prevention Network Crisis Text Line-Text “TN” to 741-741
The line will provide immediate support and referrals for suicidal thoughts, anxiety, depression, child and domestic abuse, substance abuse, eating disorders, human trafficking and more.
Mobile Crisis Unit Hotline 865-539-2409
Mobile Crisis Unit provides a 24-hour crisis response system for individuals experiencing a mental health crisis. The program provides assessments, triage, and access to appropriate levels of care.
Confidentiality- Information shared with the school social worker is confidential. The student’s right to privacy is guarded as much as permitted by law, ethics, and school policy. The school social worker is obligated to break confidentiality when there is potential harm to the student or others, concern of neglect/abuse, or a court of law that requires testimony or student records.
At times, the social social worker and school-based staff (teacher, counselor, principal, etc.) need to exchange information about students. Such communication takes place on a need-to-know basis.
Due to confidentiality laws, you may not receive updates about the status of your referral.
