Referrals

To refer an individual to ILA, please complete all fields that are marked with **.
Name:**
Address:**
City:
Country:**
State/Province:**
Day Phone Number:**
Evening Phone Number:**
Best Time to Call:**
Email:**
Services Interested In (select all that apply):
 Residential Services
 Service Coordination
 Training
 Other
    
  Independent Living Association
110 York Street,
Brooklyn, NY 11201
U.S.A
Phone: 718 852 2000
Fax: 718 488 9811
Email:  clientreferral@ilaonline.org
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