- Adoption
- Child Care
- Independent Living for Youth and Young Adults
- Becoming a Foster Parent
- Child and Family Well-Being
- Child Fatality Prevention
- Children's Legal Services
- KIDS
- Overview
- Parent Education and Family Stabilization Course
- Child Safety and Prevention Resources
- Community Based Care
- My FL Learn Training Portal
- Florida Children's Ombudsman
- Florida Youth Leadership Academy
- Guardianship Assistance Program (GAP)
- Florida’s Child Welfare Practice Model
- Florida Statutes, Rules, and Operating Procedures
- Legislatively Mandated Reports
- Safe Sleep
- Summer Safety Tips
- Gabriel Myers Work Group
Circuits
Counties served: Escambia, Okaloosa, Santa Rosa, and Walton
![](/sites/default/files/2023-03/C1-Provider.png)
Circuit 1 Key Contacts
Melissa Sidoti
Circuit 1 Community Development Administrator
160 Governmental Center
Pensacola, FL 32502
Office: (850) 483-6623
Cell: (850) 519-5286
CBC Lead Agency Administration
FamiliesFirst Network of Lakeview
Mark Jones
President, FamiliesFirst Network
Vice President, Lakeview Center, Inc.
1200 W. Avery St
Pensacola, FL
(850) 429-6667
Community Based Care Lead Agency Operations, Adoptions, and Program Contacts
Adoptions, Case Management & Independent Living
Cory Borcherding
Phone: (850)530-7652
Click here for the Statewide IL Services Contact List
Administration, Community Engagement & Recruitment
Jenn Petion
Phone: (850) 490-5066
Missing Children & Out of County Services
Cory Borcherding
Phone: (850)530-7652
Licensing & Placement
Chris Root
Phone: (850) 418-3465
Quality Assurance & Training
Lynn Whittington
Phone: (850) 418-0860
Click here for the Statewide QA Contact List
Circuit 1 Resources
Automated Community Connection to Economic Self-Sufficiency (ACCESS)
ACCESS Benefits Application
Application for Food Stamps, Medicaid, and Temporary Cash Assistance
ACCESS Florida Home Page
General information and links for the ACCESS program
School Schedules
Counties served: Franklin, Gadsden, Jefferson, Leon, Liberty, and Wakulla
![Circuit 2](/sites/default/files/2023-03/C2-Providers.png)
Circuit 2 Key Contacts
Terrence Watts
Circuit 2 Community Development Administrator
2383 Phillips Road
Tallahassee, FL 32308
Cell: (850) 510-1811
Educational Resources
Franklin County
Dr. Jill Rudd
Principal
(850) 670-2810 ext. 4109
@email
Gadsden County
Sharon Thomas
Director Exceptional Education
(850) 627-9651
@email
Jefferson County
Courtney Oliver
Assistant Principal
Jefferson Somerset PreK - K12
Office: (850) 997-3551
Cell: (954) 495-0682
@email
Leon County
Dr. Kathleen Rodgers
(850) 487-7306
@email
Tammy Watson
(850) 487-7306
@email
Circuit 2 CBC Contact
Gilbert Allen
Northwest Florida Health Network
Youth Services Specialist
Cell: (850) 739-1091
@email
Community Based Care Lead Agency Operations, Adoptions, and Program Contacts
Case Management, Independent Living & Adoptions
Torris Bethea
1000 W. Tharpe St.
Tallahassee, FL 32303
(850) 488-0506
Click here for the Statewide IL Services Contact List
Contracts
Chris Meadows
525 N. Martin Luther King, Jr
Tallahassee, FL 32301
(850) 410-1020
Out of County Services and ICPC
Samone Franklin
1000 W. Tharpe St.
Tallahassee, FL 32303
(850) 488-0506
Missing Children
Amanda Geiger
525 N. Martin Luther King Jr.
Tallahassee, FL 32301
(850) 410-1020
Quality Management
Kristyn Robinson
1000 W. Tharpe St.
Tallahassee, FL 32303
(850) 488-0506
Click here for the Statewide QA Contact List
Training
Kristyn Robinson
1000 W. Tharpe St.
Tallahassee, FL 32303
(850) 488-0506
Automated Community Connection to Economic Self-Sufficiency (ACCESS)
Community ACCESS Partner listing
Community Outreach
Foster Parent Recruitment Video
School Calendars (2020-2021 School Year)
- Franklin | COVID-19/Re-Opening Info
- Gadsden | COVID-19/Re-Opening Info
- Lake | COVID-19/Re-Opening Info
- Liberty County School Calendar
- Wakulla | COVID-19/Re-Opening Info
Resources
Counties served: Columbia, Dixie, Hamilton, Lafayette, Madison, Suwannee, and Taylor
![Circuit 3](/sites/default/files/2023-03/C3-Providers.png)
Circuit 3 Key Contacts
Cheryl Twombly, CPM
Community Development Administrator C3&C8
Florida Department of Children and Families
Office: (352) 415-6132
Cell: (352) 283-5562
Physical Address: 1730 NE 31st Ave, Bldg 2
Mailing Address: 1000 NE 16th Ave, Bldg J
Gainesville, FL 32601
Lead Agency:
Ginger Griffeth | President and CEO
Partnership for Strong Families, Inc.
5950 NW 1st Place, Suite 300| Gainesville, FL 32607
Office: (352) 244-1502
Counties served: Clay, Duval, and Nassau
![Circuit 4](/sites/default/files/2023-03/C4-Providers.png)
Circuit 4 Key Contacts
Donna M. Johnson, CPM, MSCJ
Circuit 4 Community Development Administrator
Florida Department of Children and Families
Office of Child and Family Well-being
Office: (904) 485-9595
Cell: (904) 251-5495
Fax: (904) 723-5489
5920 Arlington Expressway. Room 361
Jacksonville, FL 32211
CBC Lead Agency Administration
(Clay County)
Kids First of Florida
Irene Toto, CEO
1726 Kingsley Ave. Suite 2
Orange Park, Fl 32073
(904) 278-5644 Ext. 2005
(Duval and Nassau County)
Family Support Services of North Florida Inc.
Bob Miller, CEO
1300 Riverplace Blvd, Suite 700
Jacksonville, Fl 32207
(904) 421-5800
Circuit 4 Resources
Local Resources
- Boot Camp for New Dads
- Florida Baptist Children's Home Safe Families Brochure
- Foster Closet - A free resource for foster parents and relative and non-relative placements to access clothing, children's accessories, toys and children's furniture to help take care of the foster children entrusted to them.
- Jacksonville Urban League Early Head Start Brochure
- Link to United Ways of NE Florida - 211
- Parenting Program Brochure
Automated Community Connection to Economic Self-Sufficiency (ACCESS)
ACCESS Benefits Application
Application for Food Stamps, Medicaid, and Temporary Cash Assistance
ACCESS Florida Home Page
General information and links for the ACCESS program
Foster Care Re-Design
- A Plan for a Radical Change in the FC System - PowerPoint presentation on the FC Redesign project from DCF and FSSNF
Additional Staff Resources and Information
- Hearing Your Voice - A Guide to Your Dependency Court Case - Publication from the American Bar Association and Florida's Children First. A Guidebook for youth in the Dependency Court system.
School Schedules
- Clay County School Schedules
- Duval County School Schedule
- Nassau County School Schedule
- Schedules for all counties in Florida
Circuit 4 Forms
Counties served: Citrus, Hernando, Lake, Marion, and Sumter
![Circuit 5](/sites/default/files/2023-03/C5-Providers.png)
Circuit 5 Key Contacts
Joelle Aboytes, Esq.
Community Development Administrator
1601 W. Gulf Atlantic Highway (SR 44)
Wildwood, Florida 34785-8158
Office: (352) 330-5512
Cell: (352) 308-7320
Russell Mohrbach
Program Administrator - Lake County
1300 S Duncan Dr. Bldg #A
Tavares, FL 32778
Cell: (352) 978-7319
Office: (352) 742-6134
@email
Marty Fuqua
Program Administrator (Hernando & Citrus)
661 S. Broad St.
Brooksville, FL 34601
Office: (352) 754-6704
Cell: (352) 745-8330
Marty.fuqua@myflfamilies.com
Robert Redding
Program Administrator - Marion County, Units 022, 025, 035, 039, 052 and Sumter County Unit 049
1100 SW 38th Avenue
Ocala, FL 34474
Office: (352) 512-6104
Cell: (352) 208-2323
Robert.redding@myflfamilies.com
Angie Dietrich
Program Administrator - Marion County, Units 036, 042, 048, 049 and 050
1100 SW 38th Avenue
Ocala, FL 34474
Office: (352) 512-6057
Cell: (352) 208-2323
Angelia.dietrich@myflfamilies.com
Circuit 5 Resources
Automated Community Connection to Economic Self-Sufficiency (ACCESS)
ACCESS Benefits Application
Application for Food Stamps, Medicaid, and Temporary Cash Assistance
ACCESS Florida Home Page
General information and links for the ACCESS program
County Resource Listing
School Schedules
- Citrus | COVID-19/Re-Opening Info
- Hernando
- Lake | COVID-19/Re-Opening Info
- Marion | COVID-19/Re-Opening Info
- Sumter | COVID-19/Re-Opening Info
Circuit 5 Forms
Counties served: Pasco and Pinellas
![Circuit 6](/sites/default/files/2023-03/C6-Providers.png)
Circuit 6 Key Contacts
Chris Letsos
Family Well-Being Director
(Circuit 6, 12, 13, 20)
9393 North Florida Avenue
Tampa, FL 33612-7907
(813) 558-5500
Celeste Fernandez
Circuit 6 Community Development Administrator
11351 Ulmerton Road
Largo, FL 33778
(877) 595-03842
Jenn Petion, MA
President & Chief Executive Officer
Family Support Services
8550 Ulmerton Road, Suite 130
Largo, FL 33771
(727) 456-0600
Additional Contacts
C6 Training Calendar
Information and Training Videos
Additional Resources
Counties served: Flagler, St. Johns, Putnam, and Volusia
![Circuit 7](/sites/default/files/2023-03/C7-Providers.png)
Circuit 7 Key Contacts
Christina “Christy” Gillis
Circuit 7 Community Development Administrator
Office of Child & Family Well-Being
Cell: (386) 214-8646
210 North Palmetto Avenue Ste.440
Daytona Beach, FL 32114
Lead Agency:
Community Partnership for Children
Volusia, Flagler and Putnam Counties
Karin Flositz
Chief Executive Officer
Community Partnership for Children
135 Executive Circle
Daytona Beach, Florida 32114
Office: (386) 238-4900
Family Integrity Program
St Johns County
Shawna A. Novak
Director
Health and Human Services
CEO, Family Integrity Program
St. Johns County Board of County Commissioners
200 San Sebastian View, St. Augustine FL 32084
Counties served: Alachua, Bradford, Baker, Gilchrist, Levy, and Union
![Circuit 8](/sites/default/files/2023-03/C8-Providers.png)
Circuit 8 Key Contacts
Cheryl Twombly, CPM
Community Development Administrator C3&C8
Florida Department of Children and Families
Office: (352) 415-6132
Cell: (352) 283-5562
Physical Address: 1730 NE 31st Ave, Bldg 2
Mailing Address: 1000 NE 16th Ave, Bldg J
Gainesville, FL 32601
Lead Agency:
Ginger Griffeth | President and CEO
Partnership for Strong Families, Inc.
5950 NW 1st Place, Suite 300| Gainesville, FL 32607
Office: (352) 244-1502
Counties served: Orange and Osceola
![](/sites/default/files/2023-03/C9-Providers.png)
Circuit 9 Key Contacts
Tina Morgan
Community Development Administrator
400 W. Robinson Street, S-1106
Orlando, FL., 32801
(407) 317-7000
Tina.morgan@myflfamilies.com
Glen Casel
CEO/President
Embrace Families
4001 Pelee St.
Orlando, Fl 32825
(407) 333-8256
Glen.casel@embracefamilies.org
Shakira Hunt
Circuit 9 Operations Manager
400 W. Robinson St. Ste. 1129
Orlando Fl, 32801
(407) 317-7735
Shakira.hunt@myflfamilies.com
Osceola County
Richard Gore
Program Administrator
Kissimmee Service Center
111 E Monument Ave Suite 601
Kissimmee, Fl, 34741
(407) 552-0461
@email
Orange County
Renee Morgan
Program Administrator
Robinson Street Service Center
400 W. Robinson Street
Orlando, FL 32801
(407) 317-7399
Cell: (407) 398-4440
@email
Richard Carr
Program Administrator
Saratoga Service Center
400 West Robinson Street, N208A
Orlando, FL 32801
(407) 317-7647
Cell: (407) 902-5630
@email
Kristie Demps
Program Administrator
Westgate Service Center
882 South Kirkman Road, Suite 200
Orlando, FL 32811
(407) 317-7649
Cell: (407) 721-0051
@email
Circuit 9 Resources
Automated Community Connection to Economic Self-Sufficiency (ACCESS)
ACCESS Benefits Application
Application for Food Stamps, Medicaid, and Temporary Cash Assistance
ACCESS Florida Home Page
General information and links for the ACCESS program
Disaster Preparedness -Emergency Management Plan
School Boards Served
School Schedules
Counties served: Hardee, Highlands, and Polk
![Circuit 10](/sites/default/files/2023-03/C10-Providers.png)
Circuit 10 Key Contacts
Ryan Duke
Operations Manager, Circuit 10
200 N. Kentucky Avenue
Lakeland, FL 33801
(863) 578-1722
@email
Amanda Wilson
Community Development Administrator
Central Circuit 10 Administrator
1055 Highway 17 North
Bartow, FL 33830
(863) 534-7100
@email
Allison Montgomery
Program Administrator
(Polk County Central)
1055 Highway 17 North
Bartow, FL 33830
Office: (863) 578-1738
@email
Tammy Tomlinson
Program Administrator (Polk County Central)
200 N. Kentucky Avenue, 3rd Floor
Lakeland, FL 33801
Office: (863) 797-1288
@email
Victoria Gamez
Program Administrator (Polk County East, Highlands and Hardee Counties)
710 State Road 60 West
Lake Wales, FL 33853
(863) 589-0411
@email
CBC Lead Agency Administration
Heartland For Children
Kimberly Daugherty/CEO
kdaugher@heartlandforchildren.org
P.O. Box 1017
1239 East Main St.
Bartow, FL 33831
(863) 519-8900 Ext. 200
Circuit 10 Resources
Circuit 10 Forms
Counties served: De Soto, Manatee, and Sarasota
![Circuit 12](/sites/default/files/2023-03/C12-Providers.png)
Circuit 12 Key Contacts
Chris Letsos
Family Well-Being Director
(Circuit 6, 12, 13, 20)
9393 North Florida Avenue
Tampa, FL 33612-7907
(813) 337-5911
Kim Kutch
Circuit 12 Community Development Administrator
1864 17th Street
Sarasota Florida 34234
Office: (941) 554-1733
Brena Slater
President & CEO
Sarasota Family YMCA, Safe Children Coalition
One South School Ave.
Suite 301 Sarasota, Fl 34237
(941) 951-2916
Circuit 12 School Schedules
County served: Hillsborough
![Circuit 13](/sites/default/files/2023-03/C13-Providers.png)
Circuit 13 Key Contacts
Rebecca Kapusta
Vice President of Community Based Care
Eckerd Connects - Hillsborough
9393 North Florida Avenue, Ste. #1100
Tampa, Florida 33612
Office: (813) 225-1105
Walter Sachs
Regional Managing Director (Suncoast Region)
9393 North Florida Avenue
Tampa, Florida 33612
Office: (813) 558-5500
Helpful Documents
Circuit 13 Child Welfare System of Care Map
Eckerd Chain of Command Reference Sheet for Foster Parents
Community Calendars
![Child Welfare Webinar Icon](/sites/default/files/styles/large/public/2023-04/favicon_1.png?itok=pNHBVtwx)
Foster/Adoptive Parent Orientation & ECA Meetings
C13 Resources
C13 Tools for New Employees
Counties served: Bay, Calhoun, Gulf, Holmes, Jackson, and Washington
![Circuit 14](/sites/default/files/2023-03/C14-Providers.png)
Circuit 14 Key Contacts
Missy Lee
@email
Community Development Administrator
Department of Children and Families, NW Region
117 S. Waukesha Street
Bonifay, FL 32425
Phone: (850) 251-7350
CBC Lead Agency Administration Contact Information
Northwest Florida Health Network
Mike Watkins
@email
Chief Executive Officer
525 North Martin Luther King Boulevard
Tallahassee, Fl 32301
Office: (850) 410-1020
Educational Resources
Circuit 14 CBC Contact
Sharis Robinson
Northwest Florida Health Network
Youth Services Specialist
Cell: (850) 596-3129
@email
Additional Circuit 14 Contacts
Address:
117 S Waukesha Street
Bonifay, Florida 32425
Adult Protective Services
Spring Southwell
Program Manager
4481 Clinton Street
Marianna Florida 32446
(850) 718-0529
Foster Care Licensing
Jeanne L. Durden
Licensing Manager
@email
4481 Clinton Street
Marianna Florida 32446
(850) 718-6353
Kelley Diehl
Licensing Specialist
@email
2505 W. 15th Street
Panama City Florida 32401
(850) 228-1136
Human Trafficking
Marina Anderson
Statewide Human Trafficking Coordinator
@email
5920 Arlington Expressway, Suite 340A
Jacksonville Florida 32211
(904) 955-7647
Refugee Services
Theresa Leslie
Refugee Services Community Liaison
2383 Phillips Rd
Tallahassee Florida 32308
(850) 778-4065
Substance Abuse & Mental Health
Shannon Brunson
SAMH Regional Director
@email
401 McEwen Dr.
Niceville Florida 32578
(850) 819-1448
Substance Abuse Licensing
Michael Van Bebber
Licensing Specialist
2505 W. 15th Street
Panama City Florida 32401
(850) 691-0581
Client Relations
Elizabeth Ceasar
Client Relations Coordinator
2505 W. 15th St.
Panama City Florida 32401
(850) 778-4045
Community Based Care Lead Agency Operations, Adoptions, and Program Contacts
Case Management, Independent Living, & Adoptions
Tara Taylor
910 Harrison Avenue
Panama City, FL 32401
(850) 747-5755
Click here for the Statewide IL Services Contact List
Contracts
Chris Meadows
525 N. Martin Luther King, Jr.
Tallahassee, FL 32301
(850) 410-1020
Out of County Services and ICPC
Steve Girton
4120 Jireh Court
Marianna, FL 32448
(850) 482-9568
Missing Children
Amanda Geiger
525 N. Martin Luther King, Jr.
Tallahassee, FL 32301
(850) 410-1020
Quality Assurance
Kristyn Robinson
1000 W. Tharpe Street
Tallahassee, FL 32303
(850) 488-0506
Click here for the Statewide QA Contact List
Training
Carol Edwards
1000 W. Tharpe Street
Tallahassee, FL 32303
(850) 488-0506
Community Based Care Lead Agency Operations, Adoptions and Program Contacts - Northwest Region
Escambia, Santa Rosa, Okaloosa & Walton Counties - Circuit 1 - Families First Network
Adoptions, Case Management & Independent Living
Cory Borcherding
Phone: (850) 530-7652
Click here for the Statewide IL Services Contact List
Administration, Community Engagement & Recruitment
Jenn Petion
Phone: (850) 490-5066
Missing Children & Out of County Services
Cory Borcherding
Phone: (850) 530-7652
Licensing & Placement
Chris Root
Phone: (850) 418-3465
Quality Assurance & Training
Lynn Whittington
Phone: (850) 418-0860
Click here for the Statewide QA Contact List
Franklin, Gadsden, Jefferson, Leon, Liberty, & Wakulla Counties - Circuit 2 - Northwest Florida Health Network
Case Management, Independent Living & Adoptions
Torris Bethea
1000 W. Tharpe St.
Tallahassee, FL 32303
(850) 488-0506
Click here for the Statewide IL Services Contact List
Contracts
Chris Meadows
525 N. Martin Luther King, Jr
Tallahassee, FL 32301
(850) 410-1020
Out of County Services and ICPC
Samone Franklin
1000 W. Tharpe St.
Tallahassee, FL 32303
(850) 488-0506
Missing Children
Amanda Geiger
525 N. Martin Luther King Jr.
Tallahassee, FL 32301
(850) 410-1020
Quality Management
Kristyn Robinson
1000 W. Tharpe St.
Tallahassee, FL 32303
(850) 488-0506
Click here for the Statewide QA Contact List
Training
Kristyn Robinson
1000 W. Tharpe St.
Tallahassee, FL 32303
(850) 488-0506
Bay, Calhoun, Gulf, Holmes, Jackson, & Washington Counties - Circuit 14 - Northwest Florida Health Network
Case Management, Independent Living, & Adoptions
Tara Taylor
910 Harrison Avenue
Panama City, FL 32401
(850) 747-5755
Click here for the Statewide IL Services Contact List
Contracts
Chris Meadows
525 N. Martin Luther King, Jr.
Tallahassee, FL 32301
(850) 410-1020
Out of County Services and ICPC
Steve Girton
4120 Jireh Court
Marianna, FL 32448
(850) 482-9568
Missing Children
Amanda Geiger
525 N. Martin Luther King, Jr.
Tallahassee, FL 32301
(850) 410-1020
Quality Assurance
Kristyn Robinson
1000 W. Tharpe Street
Tallahassee, FL 32303
(850) 488-0506
Click here for the Statewide QA Contact List
Training
Carol Edwards
1000 W. Tharpe Street
Tallahassee, FL 32303
(850) 488-0506
Community Outreach
Foster Parent Recruitment Video
Automated Community Connection to Economic Self-Sufficiency (ACCESS)
ACCESS Benefits Application
Application for Food Stamps, Medicaid, and Temporary Cash Assistance
ACCESS Florida Home Page
General information and links for the ACCESS program
School Calendars (2020-2021 School Year)
County served: Palm Beach
![Circuit 15](/sites/default/files/2023-03/C15-Providers.png)
Circuit 15 Key Contacts
Dennis Miles
DCF Regional Managing Director
Circuits 15, 17 & 19
111 S. Sapodilla Ave.
West Palm Beach, FL 33401
(561) 837-5078
Elisa Cramer
DCF Circuit Community Development Administrator
111 S. Sapodilla Ave.
West Palm Beach, FL 33401
(561) 227-6686
Robert Shea
Director of Family & Community Services
111 S. Sapodilla Ave.
West Palm Beach, FL 33401
Cell: (772) 216-3300
Office: (561) 227-6668
Amy Gregory
DCF Regional Family Safety Operations Manager
Circuits 15 & 19
111 S. Sapodilla Ave.
West Palm Beach, FL 33401
Cell: (772) 577-0311
Larry Rein CEO & President
ChildNet Palm Beach
4100 Okeechobee Blvd.
West Palm Beach, FL 33406
(561) 352-2500
Facility Intake Packets
- A Place of Hope - Shelter
- A Place of Hope - Cottage for Girls
- Genesis Placement Agreement
- Grandma's Place
- Hibiscus Children's Center - Vero Beach
- Hibiscus House - Jensen Beach
- Kids In Distress - Wilton Manors
- Seven Stars Place of Hope for Boys
- The Grove
- The Haven
- Vision Quest
File Jacket Forms
- Acknowledgement Form (All Pamphlets and Brochures)
- Chronological Notes
- CPI Rights and Responsibilities
- CPI Rights and Responsibilities - Creole
- CPI Rights and Responsibilities - Spanish
- Food Stamp Flyer
- HIPAA Policy (English)
- HIPAA Policy (Spanish)
- HIPAA Policy (Creole)
- ICWA Form
- ICWA Form - Spanish
- PBC Community Resources (2015)
- Release of Medical Information - Parental Permission
- Release of Medical Records - Children's Records
- SACC Release Form
- Water Safety Survey
HHS/Deaf and Hard of Hearing Forms
- HHS CPI Checklist
- HHS Sample Mockup Forms
- Communication Assessment - Instructions
- Communication Assessment (English)
- Communication Assessment (Spanish)
- Communication Assessment (Creole)
- Customer Feedback (English)
- Customer Feedback (Spanish)
- Customer Feedback (Creole)
- Request for Waiver (English)
- Request for Waiver (Spanish)
- Request for Waiver (Creole)
Facility Intake Packets
County served: Broward
![Circuit 17](/sites/default/files/2023-03/C17-Providers.png)
Circuit 17 Key Contacts
Dawn Liberta
Circuit Community Development Administrator
FL Department of Children and Families
1400 W Commercial Blvd, Room 210c
Ft. Lauderdale, Fl 33309
(954) 375-6092
Dennis Miles
Regional Managing Director
Circuits 15, 17 & 19
111 S. Sapodilla Ave
West Palm Beach, Fl 33401
(561) 227-6779
Captain Edward McCardle
Director of BSO CPIS
Child Protective Investigations Section
Broward County Sheriff’s Office
1415 W Cypress Creek Road, Suite 100
Fort Lauderdale, FL 33309
(954) 308-0607
Larry Rein
Chief Executive Officer and President
ChildNet Inc.
1100 West McNab Road
Fort Lauderdale, Fl 33309
(954) 414-6000
Broward Sheriff's Office Forms
- At-Risk Child Care Application and Authorization
- BSO Critical Incident Report
- Child Case Closure Checklist
- Child Find / FDLRS Referral Form 0-5
- Child Protection Rights and Responsibilities
- Child Protection Rights and Responsibilities - Creole
- Child Protection Rights and Responsibilities - Spanish
- Consent to the Release of Information (CPIS 119-Jan.2019)
- Dependency-Criminal Joint Investigation Form (School Board)
- Early Steps Referral for Developmental Assessment Birth - 3 years old
- Healthy Start Connect Referral Form
- Human Trafficking Multidisciplinary Staffing Form
- Human Trafficking Screening Tool Instructions
- Institutional Investigation Safety Planning Form
- Multi-System Staffing Team (MSST) Report-Vulnerable Teens
- National Youth Advocate Program (NYAP) Kinship Referral Form
- Non-Relative Caregiver Financial Assistance Application
- Phamatech Drug Testing Referral Form
- R&R Domestic Services, Inc.- Batterers’ Intervention Referral Form
- Request for Medical Examiners’ Autopsy Report
- School Board of Broward County Release Form-Taking a Dependent Child Into Custody
- SMART Team Referral (Dec 2016)
- Verification of Indian Child Form Instructions (CS-FSP 5323)
- Verification of Indian Child Welfare Act Eligibility (CF-FSP 5323)
- Women in Distress Referral for Services
- Women in Distress Referral for Services (Creole)
- Women in Distress Referral for Services (Spanish)
Emergency Removal Packet
- 1-Case Opening Document (Dec 2017)
- 5-Notification to Placement Unit for Detained Children Not in DCF Shelter Placement (CPIS 130-Jan 2017)
- 8-Parental Authorization for Continued Provision of Psychotropic Medication
- 9-Consent to the Release of Information (CPIS 119-Feb. 2018)
- 10-Consent For Treatment and Release of Medical-Educational Records
- 11-Verification of Indian Child Welfare Act Eligibility (CS-FSP 5323)
- 12-Instructions for Verification of Indian Child Form (CS-FSP 5323)
- 18-Broward County Schools and BSO-CPI Caregiver Checklist (October 2017)
- 19-BSO-CPI Broward County School Transportation Request (October 2017)
- 20-School Stability Checklist for Children in Out-of-Home Care
HEART Alliance
Additional Circuit 17 Resources
Protocols and Reports
- Administrative Order - Child and Sexual Abuse Victims Interviews of Young Victims
- Administrative Order - Unified Family Court
- Administrative Order - Voluntary Dependency Drug Court Program
Other Resources
County served: Brevard
![Circuit 18](/sites/default/files/2023-03/C18-Providers.png)
Circuit 18 Key Contacts
Traci Klinkbeil
Community Development Administrator
375 Commerce Parkway, #202
Rockledge, FL, 32955
(321) 634-3632
Traci.klinkbeil@myflfamilies.com
Palm Bay Child Protective Investigations Service Center:
(321) 327-6733
Rockledge Child Protective Investigations Service Center:
(321) 637-7383
Samantha Taylor
Family Safety Operations Manager
375 Commerce Parkway, Ste. 101
Rockledge, FL 32955
Office: (321) 604-4270
@email
Cheryl Christie
Rockledge Service Center
Program Administrator
375 Commerce Parkway
Rockledge, FL 32955
Office: (321) 604-4318
Cell: (321) 720-0323
@email
Thomas Loveland
Palm Bay Service Center
Program Administrator
6100 Minton Road, Ste. 201
Palm Bay, FL 32907
Office: (321) 327-6707
Cell: (321) 507-3490
@email
Phil Scarpelli
CEO
Brevard Family Partnership
2301 Eau Gallie Prkwy, Suite 104,
Melbourne, Florida 32935
(321) 752-4650 ext. 3064
Phil.scarpelli@brevardfp.org
Cosanne Mistretta, M. Ed.
Director, Space Coast Youthbuild
Brevard Community College
1519 Clearlake Road, 14-196
Cocoa, FL 32922
Phone: (321) 433-7477
Mistrettac@brevardcc.edu
Circuit 18 Services
- Alcoholics Anonymous/Narcotics Anonymous
- ACCESS Florida
- Brevard County Legal Aid (BCLA)
- Brevard Outpatient Alternative Treatment., (B.O.A.T.)
- Brevard 211
- Brevard C.A.R.E.S.
- Brevard Sharing Centers
- Brevard Work Force
- Bright Star
- Aspire Health Partners Programs and Services
- Center For Drug Free Living/ Trauma Informed Care T3 program
- CHANGES
- Circles of Care
- Children's Medical Services
- Co-parenting Classes/Parent Stabilization and Family Education Providers
- Crosswinds Youth Services Inc.
- The Early Learning Coalition
- The Florida Wildlife Commission (FWC)
- Healthy Start of Brevard County
- Healthy Families Florida (HFF)
- IMPOWER
- Links of Hope
- The Mobile Response Team
- Service Descriptions
- Targeted Case Management
- Operation Home Front
- The Women's Center
- Youthbuild Poster
Circuit 18 Forms
FSFN Tip Sheets
- How to Move an Investigation
- OTI's in FSFN
General Forms
Investigations Support
- BCSO Codes Listing
- Courtesy Home Visits for Other States
Investigations Support
- Directions for Obtaining Police Reports
- Fingerprint Based Criminal History Check Form
Circuit 18 Resources
Automated Community Connection to Economic Self-Sufficiency (ACCESS)
Misc.
- Brevard Human Trafficking Symposium Devereux Info (Jan. 2021)
- Cultural Adjustment Worksheet
- Stages of Cultural Adjustment
- NIHMS Author Manuscript- Cross-Cultural Differences in Children’s Choices, Categorizations, and Evaluations of Truths and Lies
School Schedules
Counties served: Indian River, Martin, Okeechobee, and St. Lucie
![Circuit 19](/sites/default/files/2023-03/C19-Providers.png)
Circuit 19 Key Contacts
Dennis Miles
Regional Managing Director
111 S. Sapodilla Avenue
West Palm Beach, Florida 33401
(561) 837-5078
Robert McPartlan
Community Development Administrator
337 N. U. S. Highway 1
Ft. Pierce Florida, 34950
(772) 467-4177
Carol Deloach, CEO
Communities Connected for Kids
10570 S Federal Hwy, Suite 300
Port St. Lucie, FL 34952
(772) 249-3194
Amy Gregory
DCF Regional Family Safety Operations Manager
Circuits 15 & 19
111 S. Sapodilla Ave.
West Palm Beach, FL 33401
Cell: (772) 577-0311
Robert Shea
Director of Family & Community Services
111 S. Sapodilla Ave.
West Palm Beach, FL 33401
Cell: (772) 216-3300
Office: (561) 227-6668
Automated Community Connection to Economic Self-Sufficiency (ACCESS)
ACCESS Benefits Application
Application for Food Stamps, Medicaid, and Temporary Cash Assistance
ACCESS Florida Home Page
General information and links for the ACCESS program
School Information
Counties served: Charlotte, Collier, Glades, Hendry, and Lee
![Circuit 20](/sites/default/files/2023-03/C20-Providers.png)
Circuit 20 Key Contacts
Chris Letsos
Family Well-Being Director
(Circuit 6, 12, 13, 20)
9393 North Florida Avenue
Tampa, FL 33612-7907
(813) 337-5911
Aaron Stitt
SunCoast Circuit 20 Community Development Administrator
2295 Victoria Avenue
Fort Myers, FL 33901
(239) 895-0231
Nadereh Salim, CEO
Children's Network of SW Florida
2232 Altamont Avenue
Fort Myers, Fl 33901
(239) 226-1524
Community Resources Listings
Additional Center Resources
- School Schedules - Charlotte County
- School Schedules - Collier County
- School Schedules - Glades County
- School Schedules - Hendry County
- School Schedules - Lee County
Memos & Forms
- Alleged Perpetrator Letter
- At-Risk Child Care Application and Authorization Form
- Behavioral Education and Therapy (BET) Referral Form
- Collier Local Request Form
- Emergency Intake Form
- EPSDT Form
- Investigation Criminal History Record Check Request Form
- Letterhead
- Local Records Request Form
- MDS Staffing Form
- Medical Records Request Form
- Quality of Life Referral Form
- Southwest Florida Addiction Services Referral Form