Submit Request for Provider

This option is for those individuals/families that choose not to contact providers using the Provider Book or DODD Provider Search Website.  Your SSA/EIS will help you put together your Request for Provider (RFP) or you may submit your RFP directly to RCBDD by completing the information below. Once your RFP is submitted, it will be reviewed and may be edited to meet HIPAA privacy requirements and/or people first language.

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Name of person submitting this RFP

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A valid email address is required
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Name of eligible individual

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Richland County Board of Developmental Disabilities
314 Cleveland Avenue
Mansfield, Ohio 44902

Phone: 419-774-4200
Fax: 419-774-4207

SSA After Hours On-Call:
419-774-4244
MUI After Hours On-Call:
 419-774-4244

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