In-Person/ Virtual Meeting Request

ACDHH Staff are currently working remotely, but we are available to meet in person, upon request. This form will allow you to request a meeting with a member of our team.

Question Title

* 1.

Name

Question Title

* 2.
Email address

Question Title

* 3.
Phone or VP Number

Question Title

* 4.
Which service do you need assistance with?

Deaf Services

Hard of Hearing Services

DeafBlind Services

Telecommunications

Family and Youth Services

Interpreter Services

General Information

Question Title

* 5.
Which meeting type do you prefer?

Virtual (via Zoom or Google Meet)

In Person Meeting

VP Call

Phone Call

Please click the submit button below, and a staff member will be in touch with you soon to schedule. Thank You!

In-Person/ Virtual Meeting Request

Question Title

* 1. Name

Question Title

* 2. Email address

Question Title

* 3. Phone or VP Number

Question Title

* 4. Which service do you need assistance with?

Question Title

* 5. Which meeting type do you prefer?

* 1.

Name

* 2.
Email address

* 3.
Phone or VP Number

* 4.
Which service do you need assistance with?

* 5.
Which meeting type do you prefer?