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Participant Safe Contact List

Please read and sign the form below.

Participant Safe Contact List

Please indicate the type of contact permitted with Safe Contact #1
Should permitted types of contact be supervised with Safe Contact #1?
Please indicate the type of contact permitted with Safe Contact #2
Should permitted types of contact be supervised with Safe Contact #2?
Please indicate the type of contact permitted with Safe Contact #3
Should permitted types of contact be supervised with Safe Contact #3?
Please indicate the type of contact permitted with Safe Contact #4
Should permitted types of contact be supervised with Safe Contact #4?

Please note, only contacts approved in writing by guardian will be allowed to communicate with participant. Please notify case managers of any changes or updates to approved list.

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PO Box 21283​

St. Simons Is, GA 31522

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At Home staff members are in the office and available most weekdays.

MONDAY - FRIDAY

07:00 AM - 08:30 PM

ADDRESS

TEL

912-223-8023

866-ENDHTGA (363-4842)

ENDHTGA.org

GA Human Trafficking Hotline

Stay in Touch!

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(877)448-7403
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