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Skip Navigation
Multiple Sclerosis
Services
Outpatient Medical
Rehabilitation
Adult
Brain Injury
Concussion Care
Limb Loss
Pediatric & Adolescent
Summer Programming
Senior
Specialized Expertise
Spina Bifida
Spinal Cord Injury
Stroke
Vision
Therapeutic
Preschool
ABA
Outpatient Therapy
Therapeutic Preschool
Employment
Services
Ability KC Industries
Employment Services
Summer Work Experience
Speciality
Services
Assistive Technology
Aquatic Therapy
Driving Program
EXCEL Program
Neuropsychology
Rehabilitation
Technology
Admissions
Getting Started
Bill Pay
Insurance
Resources
Resource Library
FAQ
News
Blog
Events
Stroke Conference
Wheelchair Wash
Ability Luncheon
Annual Groundhog Run
Community Events
All Events
About
History
Mission & Vision
Leadership
Annual Report
Partnerships
Locations
Areas Served
Stories
Contact
Email Us
Volunteer
Internship
Careers
Referrals
Ability KC Summer Programming Intensive Constraint & Bi-Manual Therapy (CIMT) Enrollment
Step
1
of
5
20%
Which age are you registering for?
Ages 4-6 June 5-June 30, 1:00 PM-4:00 PM
Ages 7-9 July 10- July 28, 9:00 AM-12:00 PM
Ages 10-13 July 10-July 28, 1:00 PM-4:00 PM
*Program dates and times vary by age.
Your Information
Your Name
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
Email
Your Child's Information
Name
First
Last
Age
Select One
2 Years Old
3 Years Old
4 Years Old
5 Years Old
6 Years Old
7 Years Old
8 Years Old
9 Years Old
10 Years Old
11 Years Old
12 Years Old
13 Years Old
Date of Birth
- must be mm/dd/yyyy format
MM slash DD slash YYYY
Diagnosis
Has your child previously participated in services at Ability KC?
Select One
Yes
No
Physician Information
Name
Dr.
Miss
Mr.
Mrs.
Ms.
Prof.
Rev.
Prefix
First
Last
Physician Office Location
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Physician Phone Number
Insurance Information
Upload a copy of THE FRONT of your child's current insurance card.
Max. file size: 300 MB.
Upload a copy of THE BACK of your child's current insurance card.
Max. file size: 300 MB.
Enroll!
Enrollment in Ability KC's CIMT Summer Programming
Price:
Credit Card
Card Details
Cardholder Name
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Multiple Sclerosis
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Services
Outpatient Medical
Rehabilitation
Adult
Brain Injury
Concussion Care
Limb Loss
Pediatric & Adolescent
Summer Programming
Back
Senior
Specialized Expertise
Spina Bifida
Spinal Cord Injury
Stroke
Vision
Back
Therapeutic
Preschool
ABA
Outpatient Therapy
Therapeutic Preschool
Back
Employment
Services
Ability KC Industries
Employment Services
Summer Work Experience
Back
Speciality
Services
Assistive Technology
Aquatic Therapy
Driving Program
EXCEL Program
Neuropsychology
Back
Rehabilitation
Technology
Back
Admissions
Getting Started
Bill Pay
Insurance
Back
Resources
Resource Library
FAQ
News
Blog
Back
Events
Stroke Conference
Wheelchair Wash
Ability Luncheon
Annual Groundhog Run
Community Events
All Events
Back
About
History
Mission & Vision
Leadership
Annual Report
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Locations
Areas Served
Back
Stories
Contact
Email Us
Volunteer
Internship
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