Ask Parent To Parent NYS

We help families receive the information and services they need—whether it’s information on a specific disability or general questions such as where to go for health care financing, specialized equipment or medical transportation.

If you reside in New York State and would like to utilize our Information and Referral services, please complete the form below.

Please provide the following contact information so we may reply. We will protect all information that is provided to Parent to Parent including names, addresses, phone numbers, birthdates and medical information. For details see our Privacy Statement.

Which county in New York State do you reside?

First Name

Last Name

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Work Phone

Home Phone

E-mail

My relationship with a Person with Special Need is as a

How may we help you?

A Family to Family Health Care Information & Education Center.

Support Parents

May We Help You?

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
E-mail

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Ask Parent To Parent NYS