How can we assist you today?
Need quick help?
Our INQ Form connects you directly with a designated A Simple Leap Coordinator who can assist with your service needs. Just share your contact information and a brief note about what you need, and one of our team members will reach out within 24 hours to support you.
Submit the form by clicking “Submit"
What can I help you with? (be very clear and give relavant information that can help with a speedy response):
Your information will be encrypted.
Provide individuals with DDD service plan, coordinate, and monitor supports to meet their goals and ensure their health and safety.
Your browser does not support capabilities required for electronic signatures.
Click a signature you want to use: