So, you are ready to book your SENSE-ational consultation assessment?! Name * First Name Last Name Email * Phone * (###) ### #### Primary Space User * Name(s) and age(s) of those who will be using the SENSE-ational Space. Funding Stream * We are proud to be verified with Minnesota's MHCP program and Wisconsin's CLTS program thus we can support those with county grant and waiver funding, donation based funding, and private pay. Different entities have different preferences and needs when utilizing our services. Which best represents your funding stream? WI CLTS Waiver Funds MN Waiver or Grant Funds Donation Based Funding Private Pay Other If you selected donation or waiver based funding- Please provide the contact information (name, email, phone) of the your support person (case manager, support planner, Wish manager, etc.) Additional Information Thank you so much for inquiring with us regarding the creation of your SENSE-ational Space! We are thrilled to be able to support you throughout this process. You will be receiving an email response from SENSEationalSpaces@gmail.com If you have any time sensitive questions, please feel free to reach out to us directly on via email or phone. We look forward to working with you!Alexi & Marlee
