Contact Us

How Can We Help You?

If you have comments, questions and concerns, or would like more information on Easter Seals Blake Foundation services, please contact us by filling out the form below.

Your e-mail will be answered within two to three business days.

To contact a specific Easter Seals Blake Foundation program please visit our locations page.

Please enter your contact information below. Required fields are marked with an asterisk.

If you have previously registered, please login here to prepopulate your information.


*	First Name: Required
*	Last Name: Required
*	Email Required
*	Phone Number: Required
	Yes, I would like to receive email from Easterseals
	Keep me logged in. What's this? Remembers your login information for your convenience. Use only on trusted, private computers. Privacy Policy

Question - Not Required - Referred by:

*3.

Question - Required - Feedback:

(Maximum response 255 chars, approx. 5 rows of text)

We greatly appreciate you sharing your experiences with us to help us enhance our services and to ensure we continue to meet your needs effectively. You may call us at (520)327-1529 if you require further assistance.Your information will be kept confidential within the organization and will not be posted publicly.

You can also reach the Easter Seals corporate office at:

312-726-6200 (voice)
312-726-4258 (tty)
312-726-1494 (fax)
800-221-6827 (toll-free)

Or, via regular mail at:

230 West Monroe Street, Suite 1800
Chicago, IL 60606