Are you looking for advocacy or legal assistance?

You can call our office and speak with one of our intake coordinators or complete the form below.

Because our advocacy services are client-directed, requests for DRM’s assistance need to be made by the person with a disability or the parent/guardian of a minor child. If you are seeking assistance on behalf of someone else, please call our office.

Because there are many areas of the law where DRM does not provide advocacy or legal representation, please review the types of issues we cannot assist with before completing our online form.

Once we receive your online intake, our staff will review your request to determine whether we may be able to assist.

  • If you complete our online form, you do not need to schedule a telephone intake.
  • If we have questions about your situation, someone will contact you to set up a telephone intake appointment.

The information you provide below is confidential. Submitting an online intake form and requesting assistance does not establish an attorney-client relationship.

Online Intake Form

Items with an asterisk (*) are required.

Online Intake Form
Address
Address
Address Line 1
Address Line 2
City
State
Zip/Postal
I am contacting DRM for:
Please provide the date of birth for the person you are contacting us about. If you do not know their date of birth, you may leave this field blank.
Are you this person’s legal guardian?
Beneficiary Status
Disability:
Issue Area:

How Can We Help?

Contact us anytime. DRM wants to hear from you. Whether you’re looking for advocacy, have a question, or just want to connect, please reach out.

By Phone

Online