Forms
Our forms are available to you at the click of a button.
Just follow the prompts to complete and submit any of the forms below. If you need help or prefer to have a form mailed to you, call us at (800) 322-3722 or send us an email.
- DSCC Program Application
- Application in English
- Application in Spanish
- If you speak Spanish and need help filling out our program application, please see this demonstration video, Solicitud del Programa de DSCC.
- Application in French
- Authorization to Release Health Information
- Authorization to Release Media
- DSCC Participant/Legal Guardian Equipment Approval Form
- Family Reimbursement Cost Log
- Reimbursement Cost Log in English
- Reimbursement Cost Log in Spanish
- If you speak Spanish and need help filling out the Family Reimbursement Cost Log, please see this demonstration video, Reembolso de Costos.
- Landlord Equipment Approval Form
- Travel Assistance Cost Log
- Travel Cost Log in English
- Travel Cost Log in Spanish
- If you speak Spanish and need help filling out the Travel Assistance Cost Log, please see this demonstration video, Asistencia de Viaje.
- “All About Me” Pages
- Find free templates you can personalize to highlight your child’s personality, strengths, medical needs and more.