COVID support for People With Disabilities
Please fill this form with your requirement if you are a person with disability or a care giver in need of COVID related help. We will reach out and arrange for feasible support. Please note that we are a group of volunteers and can support virtually with publicly available  COVID related information, support in ordering essential supplies or assistance in arranging medical emergency. We do not provide any financial assistance.
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Name
Nature of Support *
Are you looking for a counselling session from a psychologist for COVID related anxiety or grief
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Phone Number *
Preferred Language - choose all that you can speak
Nature of Disability *
Email
Address
City *
State *
Submit
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