Spinal Cord Injury Program Info Session

Please fill out the following registration form to sign up for an upcoming information session.

If you have any further questions or concerns, please email Jovi Stevenson at: jstevenson@icdnyc.org.

Name *
Name
Date of Birth *
Date of Birth
Phone *
Phone
Area Code First 3 Digits Last 4 Digits
Address *
Address

If you are having trouble accessing our website, or this form specifically, please email jstevenson@icdnyc.org or 212-585-6095.

Our Office

123 William St
New York, NY, 10038
United States

 

(A map of New York City with a pin dropped on ICD's location - 123 William Street, 5th floor, New York, NY 10038)