School Social Worker Referral Form
If you have an emergency, please call 911.
If you suspect abuse or neglect of a child, you must call the Tennessee Department of Children's Services at 877-237-0004 or 877-542-2873.
Please understand that, due to confidentiality laws, you may not receive any updates about the status of your referral.
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Email *
Name(s) of referred child(ren)? *
Your Name *
Your Phone Number *
Your relationship to the child(ren). *
If you answered "Other Not Listed" above, please state your relationship to the child(ren) being referred.
Reason for Referral *
If you checked "Other" above, please explain the referral.
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