AGAPE Referral Forms

Post Adoption Support

Get help now; fill out the online referral form below.

 Agencies and organizations can refer families to the program or families can request assistance themselves.

The AGAPE referral form can also be downloaded here: AGAPE Referral Form.  Please fax form to 888.482.9112 or scan and email to agape@affcny.org.



If you need immediate assistance please call our HelpLine at 888.354.1342


AGAPE is funded by the Regional Permanency Resource Centers initiative of the New York State Office of Children and Family Services

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