Waiting List Intake Form

ADAP is not currently accepting new cases due to a lapse in federal funding caused by the government shutdown.

If you would like to be placed on our waiting list, please provide your name, contact information, and a brief description of your issue using our online intake form or by calling our office: 800.826.1675.

Thank you for your understanding and patience.

Waiting List Intake Form

Sign up for our waiting list. We will contact you as soon as we are able to reopen.

Name
Name
First Name
Last Name

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