Family Support
If you have questions or need assistance, FDLRS Gulfcoast is here to help. Please complete the form below to share your needs or concerns. A member of FDLRS Gulfcoast will be reaching out to you shortly to provide support.
I am:
*
Please Select
A parent or family member
A friend or community support person
FDLRS Gulfcoast Staff Member
FDLRS Gulfcoast Staff Member
Please Select
Sandi Bailey
Vickie Chamberlin
Katie Davis
Tonya Lewis
Rebecca Hembree
Beth Hutfilz
Kelly O'Malley
Kristen Redding
Joan Sacco
Jennifer Stead
Priscilla Stevenson
Krystle Swift
Brianna Tesar
Ticket Status
Resolved
Pending
Your Name
*
First Name
Last Name
Your Child's Name
*
First Name
Last Name
Age of Child
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Child's Birthdate
*
-
Month
-
Day
Year
Date
County where your child attends school:
*
Please Select
Hernando
Pasco
Pinellas
What is your reason for contacting FDLRS?
*
Please Select
I would like to know more about Exceptional Student Education (ESE) services for my child.
I have questions about my child's Individual Education Plan (IEP).
I have a question about FDLRS Child Find screening.
I would like to know more about the services FDLRS offers.
I have a question about a disability my child has or may have.
My child is having learning difficulties.
My child is having behavior challenges.
Other
Have you contacted your child's school or school district about your question?
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Yes
No
N/A
How would you like us to contact you?
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Email
Call
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Do you need language translation?
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Yes
No
Which language?
Do you need any accommodations during our interaction? (large print or captions for example)
*
Yes
No
Which accommodations will help us support you?
Do you have any additional information you would like to share with us?
Updates to Ticket
Submit
Should be Empty: