The Oak Hill Center for
Individual and Family Supports
Information Request
Your Name:
E-mail:
Day Time Phone:
Evening Phone:
Address:
City:
State:
Zip:
Please send me information about the following services:
All Services
Personal support
Respite Care
Supported living
Supported Employment
Group Day Services
Individualized Day Support
Environmental Modifications
Specialized Adaptive Equipment and Supplies
Adult Companion Services
Family Education
Family and Individual Consultation and Support
Individual Service Agreements/Fiscal Intermediaries
I would like to set up an appointment to visit your programs.
Please contact me at:
Phone:
Additional Information: