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Contact FCSN

Call:

(800) 331-0688
(617) 236-7210

English – Option 1
Spanish – Option 2
Haitian-Creole – Option 3
Portuguese – Option 4
Mandarin & Cantonese – Option 5
Vietnamese – Option 6
All Other Languages – Option 7
Staff Directory – Option 8
ASL and captioning are available

Smiling young woman looking away from her laptop, wearing headphones

Online Intake Form

Email:

info@fcsn.org

espanol@FCSN.org

portugues@FCSN.org

kreyolayisyen@FCSN.org

chinese@FCSN.org

vietnamese@FCSN.org

All other languages: languageline@FCSN.org

Visit:

Federation for Children with Special Needs
The Schrafft Center
529 Main Street, Suite 1M3
Boston, MA 02129

Fax:

(617) 241-0330

Online Intake Form

Please complete the form below, and we’ll get back to you as soon as we can!

"*" indicates required fields

What is your main reason for contacting us?*

Special Education Process, Procedures, Schools

Early Childhood/Early Intervention

Post Secondary Transition

General Education School Options and Vocational Schools

Pandemic-Related Transition Services

Healthcare/Health Insurance

Housing

Parent/Caregiver Support

Communications and Fundraising Questions

Other

Youth Eligibility Requirements*

I understand the youth must meet the three eligibility requirements below:

* Born between March 10, 1998 and September 30, 2001?
* Enrolled in special education until age 22?
* A resident of Massachusetts?

Type of Caregiver/Parent Support

I am interested in information about Caregiver to Caregiver. (C2C)

I would like to complete the Caregiver to Caregiver (C2C) Match Request..

I am interested in information about Parent-to-Parent (P2P).

I would like to complete the Parent-to-Parent (P2P) Match Request.

C2C MATCH REQUEST FORM

P2P MATCH REQUEST FORM

I consent to receive text messages from the Federation.*

Yes

Name of Caller (Parent/Guardian/Other)*

First Last

Enter Email Confirm Email

Which language do you prefer to receive your response?*

Other Language

Chinese Dialects

Phone Type*

Cell Phone Number

Home Phone

Work Phone

Best Time to Call

Is your family military connected?*

Address

State*

City*

Enter City (outside of MA)

Zip code

Your Ethnicity*

Your Race*

Specific Race

Are you contacting us about a child or youth?*

If you are contacting us about a child or youth, please provide the following information

The Federation for Children with Special Needs is funded by grants which require us to collect data. Our registration is confidential and used to ensure we are supporting all communities. We do not share personal information nor do we sell to third parties. Please contact us with any accommodation requests at info@fcsn.org.

Child's Date of Birth:*

Month

Day

Year

Child's First Name*

Child's Last Name*

Child's Race*

Child's Ethnicity*

Child's Primary disability, if applicable:*