clinic name______________________________________ How / clinic Other____________________________________ / /
IndustryTerm
car modification / university other insurance / free fast food / insurer________________________ insurance / transportation / healthcare / transportation technology education special kind / web page design / name_________________________ insurance / health insurance / energy / /
Organization
Commission for CSHCN / Vocational Rehabilitation YES NO YES NO Centers for Independent Living YES NO YES NO Support / Kentucky Commission for Children / Medicare / /