Inglis House

First Name *

Last Name *

Phone Number *

Email Address

Who is interested in learning about Inglis House? *

Does the potential resident have a primary diagnosis of a neuromuscular or musculoskeletal condition? (Examples include: multiple sclerosis, cerebral palsy, and/or spinal cord injury) *

Yes No

Is the potential resident 18 years or older? *

Yes No

Contact us to learn more about Inglis House’s admissions process!