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Baby Steps Recovery Program Referral

  1. Douglas County Georgia
  2. Douglas County Juvenile Programs Administrations
  3. Baby Steps Recovery Program Referral
  4. DFCS referral made:*
  5. Pregnant:*
  6. Married:*
  7. Please explain
  8. Have you referred client for substance use assessment prior to this referral?*
  9. Is case substantiated?*
  10. Child(ren) name(s) and DOB(s) Please list all children involved in case:
  11. Born drug free?*
  12. Born drug free?
  13. Born drug free?
  14. Born drug free?
  15. Leave This Blank:

  16. This field is not part of the form submission.