Knowledge & Information Distribution Site (KIDS)

Circuit 20

Forms, Tools, Community Resources, Contacts and Community Links

Circuit 20 Key Contacts

Lisa Mayrose
Suncoast Regional Director Circuit 6, 12, 13, 20)
9393 North Florida Avenue
Tampa, fl 33612-7907
813-337-5910

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

Charlotte County (May'11)

Collier County (May'11)

Glades County (May'11)

Hendry County (May'11)

Lee County (May'11)

Resource Guide (July'11)

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

Investigation Criminal History Record Check Request Form

Local Records Request Form

MDS Staffing Form

Medical Records Request Form

Quality of Life Referral Form

Southwest Florida Addiction Services Referral Form

Other Documents

Child Abuse Prevention and Permanency Plan for Circuit 20 (CAPP, 2010 - 2015)

DJJ/APD/CMS/DCF/CNSFL Interagency Agreement (2009)

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