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FACT: Parent/Guardian Information Screening Form

Parent/Guardian Online FACT Information Screening

Monroe County Family Access and Connection (FACT)
Supporting Hope, Partnership, Peace, and Change

Thank you for your interest in Monroe County's Family Access and Connection Team (FACT).  FACT’s goal is to prevent youth with behavioral challenges from getting involved with higher level systems (like juvenile justice). To learn more about FACT visit our webpage at: https://www.monroecounty.gov/hs-fact-far

We believe in the science of HOPE – that tomorrow can be better than today and that families have the power to make positive changes.  We partner with families to help make that happen.  We will work with you using informal supports and community connections. If you are a parent and/or legal guardian who resides in Monroe County, you can reach out to us by completing this online referral form or calling us at 585-753-2639. If you are not a parent/guardian, please call us for more information or share the link to this form with the parent/guardian.

Please provide some information to help us best serve you.  After you submit this form, our staff will review the information provided and reach out to you within one business day. 
1. Do you reside in Monroe County, New York? *This question is required.
2. Are you the parent and/or legal guardian of the child you are referring to FACT? *This question is required.