Request Form: Sign Up for an Evening Intake Appointment

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Request Form: Sign Up for an Evening Intake Appointment

Do you need to speak with Disability Rights California about your legal rights, but can’t call us during business hours? Sign up to request an evening intake appointment.

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Request Form:Sign Up for an Evening Intake Appointment

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Register for an Intake Appointment

Do you need to speak with Disability Rights California about your legal rights, but can’t call us during business hours? Sign up to request an evening intake appointment.

Our advocates are available to speak with you about any legal issue DRC handles, including special education, regional center, IHSS, and disability discrimination. We will gather information about your issue and give you information about your rights. This event is not a training. It is an opportunity to speak 1:1 with an advocate if you are not able to call us during our regular business hours.

Use the form below to tell us your availability. We will then contact you by email to offer you an appointment day and time.

Registration closed on March 26

Registration Info

Sign up by March 26, 2023. We will confirm your appointment day and time via email. Spanish and English available, other languages upon request. Appointment availability is limited. If the event is full, we may direct you to other ways to complete the intake process.

REGISTRATION CLOSED

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Intake Appointment Form

After filling out the form and providing us your availability, you will be contacted by one of our advocates to confirm the appointment.

Describe what you would like to discuss with one of our advocates.

Choose a Preferred Time and Day to Call

Note: If you do not have a preferred time just leave blank.

Appointment Request Acknowledgment

I understand that completing this form does not guarantee me a particular appointment time.

DRC will email me to offer me an appointment based on availability.

I understand that if I have an urgent issue, I should call 800-776-5746 instead of waiting until my appointment time.