Assistive Technology Inquiry Form

Assitive Technology

Our Goodwill Services Center team provides assistance to individuals and families in obtaining assistive technology and other assistive items.

Assistive Technology Inquiry Form

  • Please fill out as much information as you are able to provide. The more information we are provided with the faster we are able to process your inquiry. Thank you!

  • MM slash DD slash YYYY
  • Max. file size: 256 MB.

Contact Us

Amanda Cook, Assitive Technology Specialist

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