A woman smiles behind three young girls, one sitting on a swing and two standing beside her in a sunny park.

Turning your DAF into Mobility

C.A.T.S. Details

Legal Name
Children’s Assistive Technology Service
EIN
46-4866068
Mailing Address
ATN: Linda Dew, 900 Granby Street, Suite 138, Norfolk, VA 23510
Phone
(757) 763 8905

DAF Direct (Fidelity / Schwab / BNY Mellon)

If your DAF is with Fidelity Charitable, Schwab Charitable, or BNY Mellon, start here:

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All Other DAF Providers

For other sponsors, copy our EIN above, then click your provider to log in and recommend a grant.

Questions?

We’re happy to help with your DAF grant. Contact Brodie Wells, Development Director — brodie@atdevicesforkids.org • (251) 243-3179

Contact

Brodie Wells, Development Director
brodie@atdevicesforkids.org
(251) 243-3179
atdevicesforkids.org

Our Sponsors

C.A.T.S. provides for the re-use of pediatric rehabilitation equipment and assistive technology devices in Virginia. We serve as a no-cost resource for children with disabilities who need adaptive equipment and whose families have limited resources.

EIN

a 501(c)3 public charity
EIN: 46-4866068

Your Request

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The below information is required for our record keeping and equipment fitting purposes.

Parent/Guardian Info

Parent/Guardian Name
Parent/Guardian Phone
Parent/Guardian Email

Therapist Info

Therapist Name
Therapist Phone
Therapist Email

Child Info

Child Name
Race
Age
Height
Weight

Other Info

Why did you choose to obtain an AT device/service from our program?
What type of insurance does the child have?
Has the requested equipment been denied by Insurance?
Persons in Household
Family Income Range
Is this child currently a client of the Department of Aging and Rehabilitative Services (DARS)?
Diagnosis
The primary reason for which the child and family needs an AT device or service is related to:
Will equipment be used at home, school or both?
Which of the following reflects your level of satisfaction with this means of obtaining needed equipment?
Order Notes (optional)

Please Note:

The fields above are required to complete your equipment request. We also require a signed Equipment Release Form to process your request. Please sign the Equipment Release Form at the button below.

Required Equipment Release Form
Liberación de Equipo

Equipment Release

Please Read and Sign before submitting your request.

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