P.O. BOX 955, GEORGETOWN, SC 29442 | (843) 546-3000 | fax (843) 527-2156
In order to adequately consider a youth for placement, we will need the following information:
If the youth is accepted into our program we will need the following information at admission time.
This information will greatly help us in planning when considering a youth’s application.
Thank you for your cooperation!
PF-15F
Insurance Information
Child's Siblings
Where has the youth lived within the past 5 years?
List below any contacts with the court system.