Make a Referral

Would you like to access our services or speak with one of our staff more about the services we offer and how we might work together to accomplish your Independent Living goals? Are you working with or supporting a person with a disability who you have spoken to about IN and they are interested in exploring our services?

Please complete this form and refer yourself or someone else to Independence Now. We will follow up by phone or email to see how we can work together toward independence!

You can also call us at 301-277-2839 (TDD: Use Maryland Relay: 711) or email us at

Independence Now never shares or sells your contact information. Read our Privacy Policy.

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