In order to fulfill your request, we ask that you please fill out and submit the
information in the form below so that we may begin processing your membership
information. Membership is free of charge; however, donations to the chapter are always welcome.
Please click here for more information.
You may click here to review CT Chapter Membership benefits and information.
Disability Information Disclosure
The disability-related information requested above is entirely voluntary and optional. You may choose to provide this information, leave it blank, or skip these questions entirely without affecting your membership status.
Purpose:
This information is requested solely to help us better understand our membership community and develop more effective services, programs, and advocacy efforts that meet our members' needs.
Important Clarifications:
- This information does not constitute protected health information (PHI) or medical records
- We are not requesting medical documentation or clinical details
- This information will not be used for medical purposes or treatment decisions
- Providing this information does not establish any medical or therapeutic relationship
- This data is collected for organizational program development and advocacy purposes only
Privacy:
Any information you choose to provide will be kept confidential and used only for the purposes stated above in accordance with our privacy policy.
Your participation in providing this information is appreciated but completely voluntary. You may update or request removal of this information at any time by contacting us.