School Counseling Referral- Mrs. Blazek
Disclaimer: Please be aware that this form sends an electronic notification to your counselor and may not be seen immediately due to the counselor visiting with other students, participating in meetings or being out of the office/after hours. If this is a situation that needs to be addressed immediately please contact the main office directly by calling 423-697-4492 during school hours. In the event of an emergency please dial 911 or one of the crisis numbers listed below. Any other requests will be prioritized based on need.

National Suicide Prevention Lifeline 1-800-273-TALK (8255)
The Lifeline provides 24/7, free and confidential support. 1-800-273-8255

Tennessee Suicide Prevention Network Crisis Text Line
Text "TN" to 741-741 to be connected to a crisis counselor.

Youth Villages Mobile Crisis Response
866-791-9225
The Youth Villages Specialized Crisis Services staff provides 24/7 assessment and evaluation of children and youth, up to age 18, who are experiencing a psychiatric emergency across the state of Tennessee.
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Email *
Who are you? *
Student's First and Last Name *
Phone Number *
Email *
Reason for Referral *
Today's Date *
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Preferred Way to Meet *
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