Apply for Services

We look forward to getting to know you and working with you to develop a customized plan of services and supports.

Step 1: Get DDA Approval

Before Unified Community Connections can begin the application process, the individual in need of services must apply and be approved for funding through, the Developmental Disabilities Administration (DDA).

Visit DDA’s website for more information and to complete the DDA application.

Step 2: Complete Unified’s Application Form

Once you have approval, complete the form below to apply for services through Unified.

Applicant’s Information

First Name

Last Name

Date of Birth

Address

City

State

Zipcode

Phone

Additonal Comments

Parent / Caregiver Information

First Name

Last Name

Relationship to Applicant

Address is same as above

Address

City

State

Zipcode

Phone

Additonal Comments

I am applying for services in the following county:

I am applying for the following services:

Coordinator of Community Service

First Name

Last Name

Phone

Need More information?

Contact: Heather Neely

Admissions Coordinator

301-790-1493 x6140

hneely@unified.org

Apply for Services

Step 1: Get DDA Approval

Step 2: Complete Unified’s Application Form

Applicant’s Information

Parent / Caregiver Information

Coordinator of Community Service

Need More information?

Contact: Heather Neely

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