FDLRS Emerald Coast Child Find Referral Form
Please fill out the form below and make sure to include an email address here, and a phone number in the Parent section. You will receive a confirmation and a copy of your answers to your email address, and we will contact you to discuss your next steps at the phone number you provide.
Sign in to Google to save your progress. Learn more
Email *
Which county do you live in?  *
FDLRS Emerald Coast serves only Escambia, Okaloosa, and Santa Rosa counties. If you live in a different county, please find your local FDLRS center at www.fdlrs.org
How many years old is your child?
 *
If your child is younger than 2 or older than 6 years old, they would not be eligible for FDLRS Child Find Screening services
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of School District of Escambia County. Report Abuse
Google Forms