SERVICE REQUEST
GIVING HOPE ONE SMILE AT A TIME!
If you are a Doctor, organization, caseworker or other medical professional that works with special needs kids that need our services please send us a note below. We will contact you asap to start the discussion!
NOTE: If you are a parent or guardian of a special needs child have requests submitted by one of the above.
SERVICE REQUEST
[ipt_fsqm_form id=”1″]
MAILING ADDRESS
- 12047 NE Glenn Widing Dr. Portland, OR 97220
DIRECT MESSAGE
- Allenfowler@amiraclefoundation.org