Carter High School Social Worker Referral Form

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This form is for referrals to the Carter High School Social Worker.
If you have an emergency call 911.
If you suspect abuse or neglect of a child, you must call the Department of Children's Services at 877-237-0004 or 877-542-2873
Due to confidentiality laws you may not receive updates about the status of your referral.

Email *

Name(s) of referred children(s) *

Your name *

Phone number *

Your relationship to the children *

Reason for referral *

Food

Clothing

Homeless

Utilities

Internet

Counseling Services

Academics

Medical

Childcare

Special Education Services

Transportation

Parenting strategies

School Supplies

Hygiene Supplies

Other:

Required

If you checked "Other", Please give an explanation of your need.

Submit

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This form was created inside of Knox County Schools. Report Abuse

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