 |
 |
|||||||||||||||
 |
 |
 |
|
|||||||||||||
 |
|
|||||||||||||||
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
|
|||||
 |
|
|||||||||||||||
 |
|
|||||||||||||||
 |
|
|||||||||||||||
 |
|
|||||||||||||||
 |
|
|||||||||||||||
|
Simply call 800-536-9040 and speak to any one of our Fairfield Academy staff or fax us at 740-536-9509 Childs Legal Name and DOB Who has Custody? Admitting County Admitting Agency School District of Residence Reason for placement: including Client’s Diagnosis, IQ numbers (most recent) and any supporting documentation you may have Is this an Emergency Placement? We will provide you with a list of other important documentation needed as we move through the admission process. |
|
|||||||||||||||
 |
|
|||||||||||||||
 |
 |
 |
 |
|
||||||||||||
 |
|
|||||||||||||||
 |
|
|||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|