Waiver Services | Request More Information *This is a request for information and not a referral to services Name(Required) First Last Phone(Required)Email What Services are you interested in(Required) Group Day (Age 18+) Community Engagement (Age 18+) Community Coaching (Age 18+ Workplace Assistance (Age 18+) In-Home Support (Age 6+) Independent Living (Age 18+) Sponsored Residential (Age 18+) Group Home Residential (Age 18+) Peer Mentor (Age 16+) Shared Living (Age 18+) Unsure Service Location(Required) Roanoke Fairfax Fredericksburg Richmond Tidewater Norfolk Additional Information