Child and Family Resource Network
Parenting can be hard, but you do not have to do it alone! Child and Family Resource Network is connecting Pottawattamie and Montgomery county residents to community resources and family support programs. The purpose of this RELEASE OF INFORMATION is to help expectant parents, young children and their families receive services in Pottawattamie or Montgomery County that are the most appropriate for their family. The information shared will remain confidential and only used to provide an appropriate referral. Feel free to contact Jordan Morse with any questions or concerns, 712-355-2615 or
Parent/Guardian Name and Date of Birth
ex. Sammy Sanders 1/1/1998 **In the case of a pregnant teen, please add their name and date of birth as well.
Which County do you live in?
How did you hear about Child and Family Resource Network?
On my own
If someone referred you, please tell us who!
Name and telephone or email address
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