Contact Gro Community Have a question? We’d love to connect! Just fill out this form and we’ll contact you within 48 hours Reentry New Inquiry Form What is your relationship to the Client * -None- Self Parent/Guardian Spouse/Significant Other/Friend Other Client's First Name * Client's Last Name * Client's Date of birth * Client's Email * Phone * City * State * Zip Code * Emergency Contact Name * Emergency Contact Phone * Emergency/Parent Email * Preferred Method of Communication * -None- Phone call Text Email Best Time of Day to Contact You * -None- Mornings (8am-12pm CT) Afternoons (12-4pm CT) Evenings (4pm-7pm CT) No preference Insurance Provider (IL) * -None- Aetna Better Health (Medicaid) Blue Cross Community (Medicaid) County Care (Medicaid) Meridian (Medicaid) Molina (Medicaid) YouthCare (Medicaid) Blue Cross Blue Shield of IL PPO Cigna Behavioral Health IL PPO United Healthcare IL PPO No active insurance Other not listed Enter the Captcha Reload Client Leads Status -None- Contact Attempt 1 Contact in Future Contacted Junk Lead/Not Eligible for Services Declined Services Not Contacted Pre-Qualified Not Qualified New Inquiry Screening Complete Clinical Assessment Complete Converted to Client Discharged (No longer a client) Client Leads Source -None- ClearChannel Billboards COR-20260130-001 FAM-20260219-001 (Family Services Weborm) GCCIN-20260204-001 (Cincinnati Webform) GCCLE-20260204-001 (Cleveland Webform) GCCOL-20260204-001 (Columbus Webform) GCDAY-20260218-001 (Dayton Webform) Google AdWords GRO Community website JCDeaux LinkedIn School Based Campaign Meta Ads PRB-20260204-001 (Probation Webform) PSY-20260326-001 (Psychiatric Webform) Public Relations RadioOne Ohio radio ads RCAR-20260204-001 (Carbondale/Southern IL Webform) RNY-20260204-001 (Reentry Webform) RPEO-20260204-001 (Peoria/Central IL Webform) RPEO-20260212-001 (Springfield Webform) RROC-20260204-001 (Rockford/Northern IL Webform) RWAU-20260204-001 (Waukegan Webform) SNC-20260204-001 (School Webform) SNC-20260204-002 (Community Webform) RNY-20260204-001 (Reentry Referrals)