Looking for services? If you're interested in services and would like to learn more, please fill out the form below

Please Note: These are ONLY located in Minnesota

Name *

Phone number *

Email *

Address *

Please contact me *

Directly

Through my designated representative (if case manager, parent/guardian, caregiver or related enter info below)

Relationship to self: *

Name: *

Telephone: *

Email: *

Preferred method of contact *

Phone

Email

Preferred location(s) within Minnesota (check all that apply) *

Twin Cities Metro Area

Duluth

Grand Rapids

Rochester

Interested in more information about the following services? Check all that apply *

Affordable (subsidized) housing for adults 18 or older with a physical disability and/or brain injury

An apartment with 24/7/365 Integrated Community Supports (ICS) for adults age 18 or older

A 6 bedroom house with roommates with 24/7/365 Customized Living service for adults 18 or older

A 4 bedroom Community Residential Services (CRS) Home (AKA Corporate Adult Foster Care) subsidized by HUD

Are you currently on a medical waiver? *

Brain Injury

CADI

Elderly Waiver

Please type the letters and numbers shown in the image.

Thank you for providing the information requested above. If you are interested in receiving additional information or would like to follow-up directly in regards to ASI Services please contact:

Mary Ellen Norris, ASI's Intake Coordinator at MNorris@accessiblespace.org or (800) 466-7722 Ext. 217