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
• Authorization to Release Health Information
  • Health Authorization in English
  • Health Authorization in Spanish
• Authorization to Release Media
  • Media Authorization in English
  • Media Authorization in Spanish
• DSCC Participant/Legal Guardian Equipment Approval Form
  • Participant/Legal Guardian Equipment Form in English
  • Participant/Legal Guardian Equipment Form in Spanish
• Family Reimbursement Cost Log
  • Reimbursement Cost Log in English
  • Reimbursement Cost Log in Spanish (updated form coming soon)
    • 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
  • Landlord Equipment Form in English
  • Landlord Equipment Form in Spanish
• Travel Assistance Cost Log
  • Travel Cost Log in English
  • Travel Cost Log in Spanish (updated form coming soon)
    • 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.