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 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.
•For pick-up at the Region Ten Clinic on Preston Avenue please wait for a confirmation email within the next couple weeks from 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 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 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 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 to schedule a pick-up time. 

Please select today's date. *
Your name *
Phone number *
E-mail *
Preferred contact method *
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:
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