Apply for an intake appointment online

Use this guided interview to apply online for an intake at Disability Rights Center - NH. Along the way, you will find information that may help you understand more about the law and how it applies to your situation.

Follow the link below to start the online interview.

apply online for an intake appointmentClick here for the DRC Guided Intake Interview

Then give us feedback! This is a new system, and we need your help to make it better. You can email your comments to, or leave your comments in the interview when there is a narrative question to answer.

If you have trouble with this guided interview, or you want to schedule an appointment by phone, call our office at 1-800-834-1721.

Funding for the Guided Intake Interview was provided by the Thomas W. Haas Fund of the New Hampshire Charitable Foundation.