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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

Funding

Current Provider or Primary Caregiver


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

Please upload the following additional files as are necessary to screen a person for program eligibility. An application will be considered complete when the following documentation is received. If all documentation is in one file, upload in the "social history" field. 

Additional information can be sent the following ways:

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