Parent/Caregiver Referral - Fountain City Elementary
Thank you for reaching out to your school counselor. Be aware that I do not check email except during school hours. If this is a crisis or emergency call 911 or go to your local emergency room.

School Counselors differ from mental health counselors in that we provide individual, group, and classroom counseling sessions that are short-term and solution-focused. Mental Health Counselors provide individual therapeutic sessions and function as long term therapy.

Limitations of virtual school counseling include, but are not limited to, confidentiality, access, and availability. You can read more here: https://schoolcounselor.org/asca/media/asca/PositionStatements/PS_Virtual.pdf

Confidentiality- Information students share with the school counselor is confidential. The student’s right to privacy is guarded as much as permitted by law, ethics, and school policy. The school counselor is obligated to break confidentiality when there is potential harm to the student or others, concern of neglect or abuse, or a court of law that requires testimony or student records.

At times, the counselor and school-based staff (teacher, social worker, principal, etc.) will need to exchange information about your child (how are they coping in class, strategies to help, etc.) All communication will take place only on a need-to-know basis.

Be aware that I do not check email except during school hours on school days and I will be away from my office on Wednesdays. If this is a crisis or emergency call 911 or go to your local emergency room.

E-mail transmissions may contain confidential health information that is privileged and legally protected from disclosure by the Health Insurance Portability and Accountability Act (HIPAA).  This information is intended only for the use of the individual or entity named in the email.  If you are not the intended recipient, you are hereby notified that reading, disseminating, disclosing, distributing, copying, acting upon or otherwise using the information contained in this e-mail is strictly prohibited.


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Student Name
Teacher Name
Your Name
Name of siblings who also attend Fountain City: (if applicable)
Best Phone Number. Please enter (xxx) xxx-xxxx
I need help:
Could you please...
Concern about Safety/Abuse
If you are worried about your child or a child you know that is in immediate danger to themselves or others call 9-11 or take them to the emergency room immediately. If you are worried about the safety or possible abuse of a child contact DCS  877-237-0004 (https://www.tn.gov/dcs/program-areas/child-safety/reporting/child-abuse.html) immediately.
Crisis Contacts
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