Safe Storage Devices Request
Please complete information below to request free safety devices.  If you are an organization requesting multiple devices for community members you work with, please email abigail.wallace@regionten.org directly about your needs.
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Where is your preferred pick-up option? (Pick-up is available during Region Ten business hours Monday-Friday 8:30AM-4:30 PM, please call ahead to schedule) *
Save These Instructions for Pick-Up.
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•For pick-up at the Region Ten Clinic on Preston Avenue please wait for a confirmation email within the next couple weeks from Abigail.Wallace@regionten.org with further pick-up instructions.

•For pick-up at the Region Ten Fluvanna Office, at 13623 James Madison Hwy, Palmyra, VA 22963, call 434-589-8276, or email travis.walker@regionten.org to schedule a pick-up time. 

•For pick-up at the Region Ten Greene Office, at 9963 Spotswood Trail, Stanardsville, VA 22973, call 434-481-3890, or email john.stone@regionten.org to schedule a pick-up time. 

•For pick-up at the Region Ten Nelson Office, at 71 Tanbark Plaza, Lovingston, VA 22949, call 434-263-4889, or email jennell.kidd@regionten.org to schedule a pick-up time. 

•For pick-up at the Region Ten Louisa Office, at 101 Ashley Street, Louisa, VA 23093, call 540-967-2880 or email elizabeth.nordquist@regionten.org to schedule a pick-up time. 

Please select today's date. *
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Your name *
Phone number *
E-mail *
Preferred contact method *
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Please select which safe storage device you would like to receive from the photo. (Medium lock boxes are currently out of stock)
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Please select all safety devices you would like to receive. 
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If you selected Trigger Lock, Cable Lock, or Drug Deactivation Bag above, please indicate how many you would like of each item.  You may request up to 2 devices of each type. (If you did not select any of these items, leave question blank)
What is your county of residence. *
Please submit questions or comments below. For more information on creating safety plans, resources to help, and how to talk to loved ones about suicide and drug misuse please visit: https://regionten.org/doyourpart/
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