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Intake Contact Form

Use this form to ask Disability Rights Ohio to help you with a problem, to come to your event or request resources. Someone from DRO will respond as soon as possible. Please do not include sensitive information that should be kept private, such as your Social Security number.

Filling out this form is not an indication of an attorney/client relationship and does not guarantee legal representation.

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Stacy Brannan-Smith

Please do not include sensitive information that should be kept private, such as your Social Security number.

For internal use only

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