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INLAND REGIONAL CENTER Reset Form valuing independence, inclusion and empowerment P. O. Box 6127, San Bernardino, CA 92412-6127 APPLICANT DATA RECORD State Equal Opportunity Employer (PLEASE PRINT)
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Families and caregivers of individuals with developmental disabilities who seek assistance in accessing appropriate programs and services.
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Medical professionals, educators, and other professionals working with individuals with developmental disabilities who may require assistance and guidance from the inland regional center.
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Inland Regional Center is a non-profit agency that coordinates with community partners to provide support and services to individuals with developmental disabilities.
Parents or legal guardians of individuals with developmental disabilities are required to file for services from the Inland Regional Center.
To fill out the Inland Regional Center application, individuals can visit their website or contact them directly for assistance.
The purpose of Inland Regional Center is to help individuals with developmental disabilities access services, support, and resources to improve their quality of life.
Information such as personal details, medical history, diagnosis, and support needs of the individual with developmental disabilities must be reported on the Inland Regional Center application.
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