MyChild™ Online Contact Form

MyChild™ Online Inquiry Form

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How did you hear about us?

Was your child newly diagnosed with cerebral palsy and you want to learn more about the impairment and its cause? Would you like to see if your child qualifies for Lifetime Benefits? Have you been managing your child’s care, but want an easy to use outline that will help organize your efforts? Are you scheduling your child’s IEP consult with school administrators and want to learn more about what to expect during the meeting? Or, perhaps you would like contacts within your community for support and guidance?

These are just a few items MyChild™ call center specialists are able to provide. The MyChild™ Online Contact Form allows you to request information online. The form was designed in a manner that makes it easy to send a question or concern anytime during the day or night.

The MyChild™ Call Center Specialists will research your request and attempt to contact you within two business days. Or, if you prefer, you can the call one of our Call Center Specialists at 1-800-MyChild (1-800-692-4453).

Some popular topics include:

About Cerebral Palsy

1-800-MyChild

About MyChild™

About MyChild™

Questions?
Please Call
1-800-MyChild
(1-800-692-4453)
Today!

MyChild™ Online Inquiry Form