Disability Rights Ohio Online Intake Form
This form is intended to be completed by people over the age of 13. Please complete the form below and click “Submit” when you are finished. A DRO staff member will contact you as soon as possible.
Disability Rights Ohio is required to collect demographic information for federal grant reporting purposes. DRO must obtain data to ensure services are available across the state to diverse populations. If you do not want to share this information, you can decline to answer those questions. No matter how you answer, this will not impact your eligibility for services.
Due to limited resources, DRO cannot fulfill every request for assistance. Still, DRO tries to provide everyone with information and referrals, even when we cannot provide direct representation.
Please do NOT include sensitive information on this form such as Social Security Numbers or Medicaid/Medicare numbers.