Form | All Empowered Founda

top of page

Home
About Us
What We Do
Apply For Care
Get Involved
Contact Us

Black and Green Modern Web Consulting Package and Pricing Desktop Prototype (5).png

Please complete the form with your information so we can determine your child's eligibility and contact you with the next steps!

First Name

Last Name

Email

Phone Number

Service(s) Needed

Medical Condition(s)

Please provide a brief explanation of why assistance is needed from the foundation. This information will help us better understand your needs and determine eligibility for support.

Thanks for submitting!

All Empowered Foundation Inc.

Phone: (407) 401-8326

Fax: (833) 664-8388

Email: info@allempowered.org

P.O. Box 770133, Orlando, FL 32877

A copy of the official registration and financial information may be obtained from the division of consumer services by calling toll-free, within the state, 1-800-435-7352 (800-help-fla), or visiting www.Floridaconsumerhelp.Com. Registration does not imply endorsement, approval, or recommendation by the state. Florida registration #CH77596

bottom of page