Contact Gro Community Have a question? We’d love to connect! Just fill out this form and we’ll contact you within 48 hours Family Service New Inquiry Form Child's First Name * Child's Last Name * Child's Date of birth * Parent's Name * Parent's Email * Phone * School (If a minor) City * State * Zip Code * Insurance * -None- Blue Cross Blue Shied of IL PPO Cigna Behavioral Health IL PPO United Healthcare IL PPO County Care (IL Medicaid) OhioRISE/Aetna (OH Medicaid) Anthem BCBS (OH Medicaid) Blue Cross Community (IL Medicaid) Aetna Better Health (IL Medicaid) Meridian (IL Medicaid) Molina (IL Medicaid) YouthCare (IL Medicaid) Molina Healthcare (OH Medicaid) United Healthcare Community Plan (OH Medicaid) CareSource (OH Medicaid) Humana Healthy Horizons (OH Medicaid) Buckeye Health Plan (OH Medicaid) No active insurance Other not listed Client Leads Status -None- Contact Attempt 1 Contact in Future Contacted Junk Lead/Not Eligible for Services Lost Lead 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- Public Relations COR-20260130-001 JCDeaux ClearChannel Billboards RadioOne Ohio radio ads RCAR-20260204-001 (Carbondale/Southern IL Webform) COR-20260204-001 (CF Referral Upload/Migration) GCCIN-20260204-001 (Cincinnati Webform) RNY-20260204-001 (Reentry Webform) PRB-20260204-001 (Probation Webform) RPEO-20260204-001 (Peoria/Central IL Webform) SNC-20260204-001 (School Webform) GCCLE-20260204-001 (Cleveland Webform) RWAU-20260204-001 (Waukegan Webform) GCCOL-20260204-001 (Columbus Webform) SNC-20260204-002 (Community Webform) RROC-20260204-001 (Rockford/Northern IL Webform) GRO Community website RPEO-20260212-001 (Springfield Webform) GCDAY-20260218-001 (Dayton Webform) FAM-20260219-001 (Family Services Weborm) FTWO-20260219-001 (FTWO Webform) LinkedIn School Based Campaign Meta Ads