ADP Consent and Declaration
Page 11 - Assistive Devices Program
Please draw your signature before submitting.
You must accept the consent declaration before signing.
Page 11 - Assistive Devices Program
Thank you for signing the ADP Consent and Declaration form. Your signature has been recorded and the document has been updated.
Case Reference:
You may close this window.
This signing link is no longer valid. It may have expired or been cancelled.
Please contact the office to request a new signing link.
This signing link is not valid. Please check that you are using the correct link from the email you received.