PLEASE READ THE REFERRAL PROCESS PAGE BEFORE COMPLETING THIS FORM!

PLEASE NOTE: This form is only for DSA referrals in the Eugene/Springfield area. group openings are limited, but we are actively adding to our waitlist.


If you are also seeking attendant care supports or if the customer needs 1:1 support in order to successfully participate in DSA, please use the Attendant Care referral form.

This form is secure and any information submitted will remain confidential.

 

Empowering adults experiencing intellectual and developmental disabilities by providing exceptional support services, meaningful classes, social opportunities and a safe environment to thrive.