Apply
Please download/print these application forms.
Fill them out and mail them or drop them off at our offices.
73710 Fred Waring Drive, Suite 118
Palm Desert, CA 92260
Once application is received and reviewed, you will be notified if we can assist you through one or more of our programs.
- Application for Assistance
- Liability Release
- Neurologist Release
- Neurologist Verification
- Aquatic Center Release Form
Make a donation to ACT for MS
Your donation will help someone with MS improve their quality of life.