Diability Benefits Support

Disability Benefits Support Request

ALL INFORMATION IS KEPT IN STRICT CONFIDENCE. MASSME WILL NOT SHARE THIS INFORMATION WITH ANYONE OTHER THAN OUR PATIENT SERVICES TEAM.
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.
State*
Town, City or Region*
Please tell us a bit about your circumstance and what support you are in need of.*
ALL INFORMATION IS KEPT IN STRICT CONFIDENCE. MASSME WILL NOT SHARE THIS INFORMATION WITH ANYONE OTHER THAN OUR PATIENT SERVICES TEAM.

Please read and agree to the terms and conditions before submitting your form
The Massachusetts ME/CFS and FM Association is a 501c3 non-profit registered in the state of Massachusetts. The Association supports people living with ME/CFS and their families by connecting them to supportive resources and each other, and by educating and advocating to expand the ME/CFS healthcare and social service infrastructure in Massachusetts. All of our patient services are intended for support and information only and should not in any way replace professional medical or legal advice.

The disability benefits support program provides advice and guidance on accessing local, state and federal disabiity benefits and social services. MassME is not responsible for the quality, efficacy or availability of benefits or services.
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Disability Benefits Support Request