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Adoptive/Foster Parent Resource Update -

Become a Resource on the GACRS Website!!

As a provider on our website, you will give parents and professionals quick access to the many services that you provide. Simply complete the form below and click "Submit". It's that easy. Your information will be added to our resource database by category and region.

You can also use this form to notify the GA Resource Center of changes to your services, location, contact person, etc.

We're happy to help you with any questions about using this form. Please give us a call at
1-866- A-PARENT if you need further assistance.

Thank You,
The GA Center for Resources and Support

(Items marked * are required)

Please provide your contact information:
*Your Name:
*Your Email:


Please provide the resource information:
*Organization(s):
 
*Category:
*Region (region map)
*Address:
 
*City:
   *State:    *Zip:
*Counties Served:
*1st Contact: *Name:  
Title1:  
Title2:  
*Phone:
*Email:  
2nd Contact: Name:  
Title1:  
Title2:  
Phone:
Email:  
Fax Number:
Website:
*Insurance? Yes     No
*Medicaid? Yes     No
*Sliding Scale? Yes     No
Other Payments:
*Service
Description:

*Experience:
Additional Notes:

   






2250 North Druid Hills Road · Suite 145 · Atlanta, Georgia 30329
Toll free telephone: 1.866.A.PARENT · Atlanta telephone: 404.929.0401 · Fax: 404.929.0405

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