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Apply for Services

Thank you for your interest in Exceptional Persons, Inc. services. We currently have openings in all of our services and are happy to speak with you.

​Please fill out and submit the following form to proceed.

Person Making Referral

Applicant Information


Current Provider or Primary Caregiver

Please check ALL services of interest to applicant (adults age 18 or older only):

PLEASE NOTE: Additional information is necessary to screen a person for program eligibility. An application will be considered complete when the following documentation is received:

  1. Social History
  2. Medical History / Reports
  3. Psychological Evaluation (including Full Scale IQ)
  4. Psychiatric Evaluation
  5. Major Incident Reports/Incident History
  6. Current Case Management Plan / Individual Program /Individual Educational Plan
  7. Assessments
  8. List of providers of other services and or past services

Additional information can be sent the following ways:

Fax: (319) 232-0453
Mail: Intakes, Exceptional Persons, Inc., P.O. Box 4090, Waterloo, IA 50704