Intake Form - Referrals
House of Hope for Girls is our residential program serving girls 12-17 who are survivors of Domestic Minor Sex Trafficking. The program offers a continuum of care including therapy, education, and life skills classes, designed to foster holistic change in the life of each survivor.
You can contact us via email at firstname.lastname@example.org or by phone/text at (912)689-9840.
Downloadable Admissions Handbook & Placement Agreement (must be completed and turned in with referral(s): Click Here
Please feel free to utilize the Online Referrals Form Below.
THE DEFINITION OF DMST: is the commercial sexual exploitation of American children within U.S. borders. It is the “recruitment, harboring, transportation, provision, or obtaining of a person for the purpose of a commercial sex act” where the person is a U.S. citizen or lawful permanent resident under the age of 18 years.
Thank you for your inquiry into House of Hope for Girls Program. In order for us to make a decision for admission please provide the following information:
• All psychological/psychiatric exams, reports, recommendations
• All legal documents (probation orders, charges, custody papers, social security card, birth certificate)
• All medical documentation (shot records, dental records, most recent physical exam, etc.)
• School records
All necessary documentation must be received and reviewed by the House of Hope Clinical Team before a determination will be made if our agency is a suitable program for the applicant’s needs.
This site allows for one file upload per button below. Please put each category into one file each. You can also email or fax these to HOH separately if needed.