Request for Advocacy
Advocacy services are provided at no cost to families. Advocacy is limited to families impacted by developmental disabilities and are educational in nature. Please note that we do not provide direct special education advocacy services.
Your phone number
Your email address
Name of individual needing assistance
Your relationship to the individual
What is their disability?
How old is s/he?
Where does the individual live?
What are your concerns?
Application or eligibility for services
Difficulty accessing services
Finding service providers
Transitioning to adulthood
Briefly describe your concern and how we may assist you.
How were you referred to us?
How would you like to be contacted?
Should be Empty: