Options/TVA - School Social Work/School Counselor Referral
Provide information needed for the referral below. 
**IF THERE IS AN IMMEDIATE PHYSICAL OR MENTAL HEALTH CRISIS:
    STAFF -  FOLLOW SCHOOL PROCEDURES.
    PARENTS / STUDENTS - CALL 911 

Kristin Campbell - School Social Worker
Dr. Kristie Cooper - School Counselor

Email *
Student Name *
High School Cohort Level *
Name of person submitting this referral  *
Please provide your phone number & email *
Contact Preference *
Relationship to Student

 *
Area(s) of Concern (Check all that apply) *
Required
Provide a brief explanation for your concern *
Please check below all of the services the student is currently involved with.  *
Required
Have you made contact with Parent/Guardian? *
Any additional information you would like the team to know
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