ADAP Client Intake Form
Please compete this form if you would like to schedule an appointment to speak with an intake advocate about a disability related issue. Complete as much information as possible. If you have difficulties using this form, please feel free to contact us via phone at 800-826-1675 or 205-348-4928.
*Required NOTE: Filling out this form is not an indication of an attorney / client relationship and does not guarantee legal representation. All information is kept confidential. |
Alabama Disabilities Advocacy Program (Main Office)
The University of Alabama Box 870395 Tuscaloosa, Alabama 35487-0395 Physical Location: 2008 12th Street Almon Building Tuscaloosa, AL 35401 1-205-348-4928 (Phone) 1-205-348-3909 (Fax) 1-800-826-1675 (for clients - instate only) e-mail: adap@adap.ua.edu website: http://adap.ua.edu |