Request an Appointment

Please complete the form below to apply for an intake appointment to register for disability services.

Request an Appointment - Disability Services

Name(Required)

First Last

Phone(Required)

Email(Required)

Do you need accommodations for a disability for the meeting? If yes, please describe the accommodations you need.

Would you prefer an in-person or online appointment? (In-person is at the ATC Campus)(Required)

Appointment Time(s): List the days/times that you would be available for an appointment.(Required)