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New Client Packet

Steps

  1. 1. Step One
  2. 2. Step Two
  3. 3. Step Three
  4. 4. Step Four
  5. 5. Step Five
  6. 6. Step Six
  • Step One

    1. Greene County Family and Children First

      Disclaimer: Information submitted on this form will be sent via email. If you would prefer to provide information such as Social Security numbers, driver's license numbers, bank account information, routing numbers, medical information, passport numbers, passwords or other sensitive information in another form, please indicate your intention on the form or by emailing mbaughn@co.greene.oh.us.

    2. New Client Form

      Please complete this form in it's entirety and attach any supplemental documents before submitting. For questions, please contact Melissa Baughn at mbaughn@co.greene.oh.us or (937) 562-5607.

    3. Insurance Information

      PLEASE PROVIDE A COPY OF YOUTH'S SOCIAL SECURITY AND INSURANCE CARDS