Apply for Help

Contact Information

First Name

Last Name

Phone Number

Zip Code

Help Needed

Have you been affected by Hurricane/Tropical Storm Harvey?

No Yes

Please Explain

Type of Assistance Needed:

Respite Help - get a break so you can take care of other things

Access to Therapy

Trama Recovery

Goods - special foods, clothing, specific materials (like weighted blankets, sensory materials, adaptive devices)

Recreation

Other Needs or More Details

About your special needs child/family member

Are you interested in trauma recovery resources?

No Yes