Help us to provide our crucial services. 100% of every donation goes to REACH.
Should an accident or illness occur, it may be necessary to provide for local emergency medical service for clients participating in any therapy services at the REACH Program. Please indicate your permission for such treatment by completing and signing the form below.
In case of emergency, the REACH Program is authorized to call 911 for emergency services. If it should be necessary for an ambulance to be obtained, I will assume payment of such a bill.