Step 1 of 6

Please introduce yourself in a few short sentences.

  • First name only is fine
  • Share about who you are 
    • Are you a person with a disability? What are your disability(ies)?
    • Or are you a family member of a person with a disability?
  • State what waiver you receive home and community based services on and through what department
    • Example: I am on the PASSPORT waiver through the Department of Aging. 
How would you like to respond?

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