Intake Form

Please fill out the intake form below.

First Name

Last Name

What is your disability?

Phone Number

E-Mail

Street Address

City

Zip Code

Is your issue about a particular agency, business or organization? If so, which one?

Please tell us about the situation.

News: Translated Publication - Guardianship Handbook now available in Spanish Mar 10, 2010; College Bound - June 23-June 25, 2010 Mar 09, 2010; Citizen Review Committee (CRC) to Hold Community Forum on Police Accountability Mar 08, 2010; Oregon Disability Megaconference: Call for Presenters Mar 05, 2010; They’re coming home. Are you ready? Mar 04, 2010; More news…

Upcoming Events: Free class for families living with mental illness NAMI Center, 18680 SW Shaw St. in Aloha,
Feb 09, 2010; Emerging Leaders Northwest invites youth with disabilities to go bowling! Milwaukie Bowl | 3056 SE Harrison St | Milwaukie, OR 97222,
Mar 14, 2010; Clackamas County 2010 Disability Resource Fair Clackamas Community College | 19600 Molalla Ave | Gregory Forum Bldg | Oregon City, OR 97045,
Mar 18, 2010; Multnomah County Budget Forum #2 Multnomah Building Boardroom | 501 SE Hawthorne Blvd,
Mar 18, 2010; Connecting Communities Coalition Forum re Addressing Disability Issues in The Portland Plan Portland Building (1120 SW 5th Ave.) Room C, 2nd floor,
Mar 23, 2010; Previous events…; Upcoming events…

« March 2010 »