We look forward to providing our individuals a service to enhance there quality of life and independence.  If you are interested in receivng services from LMSIDD please fill in form below and someone will contact you in 5 business days for a joint consultation

Client information Page

First Name *

Daytime Phone *

Address *

Waiver Type *

Middle Initial

Last Name *

Evening Phone

E-mail *

City *

Hours per Month *

State

First Date of Service *

Zip *