MDDC

Maine Developmental Disabilities Council Tablet Request Form

Please complete this form for each person you refer to the Maine Developmental Disabilities Council Tablet Program. Please complete the referral section, then read each of the questions to the potential tablet recipient and record their answers. Please indicate if there are any special circumstances or questions regarding the appropriateness of this referral.
    If the person being referred for a tablet is definitely not an adult Maine resident with a developmental disability, please do not continue with this application.
    If none or insufficient internet access, they will receive a data tablet. If high speed access, they will receive a wireless tablet.
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