General Inquiry
The William George Agency for Children’s Services
380 Freeville Road
Freeville, NY 13068
607.844.6460
Ours is a tobacco-free and alcohol-free campus; weapons are strictly prohibited.
Records Requests
Are you a former resident or a guardian?
Please fill out our Records Request Form. This form is used for ALL requests asking for medical clinic**, residential treatment, vocational, Van Clef or other records from time in program.
Provide as much detail and instruction as you can in the “special information” field. Do not include any confidential or sensitive information through this form (e.g., social security number). A staff member will reach out to you after receipt; kindly allow 48 hours for routine requests.
** NOTE: To obtain copies of clinical and/or medical records from WGA, a client or authorized representative must also fill out, sign and submit a separate request before information can be release. Please complete this Release of Health Information Form.
Educational Records Requests
For educational transcripts, graduation verification, or other school records from The George Junior Republic Union Free School District, please complete this form located on the school’s website. Please allow 48 hours for routine requests. If you have questions filling out the form, please call Ms. Rosenberg at 607.844.6365.
To obtain copies of clinical and/or medical records from WGA, a client or authorized representative must fill out the Authorization for Release of Health Information From WGA Form linked below and submit it to the appropriate department as outlined.