Instructions for obtaining the request form (DHR-FCS-1598)
To obtain the request form 1598 and instructions, please go to:
Instructions for completing the request form
Please leave the top portion of the request form blank, only filling in your personal information and signing the form. Wide Horizons will complete the remainder of the information and submit the request on your behalf.
Once complete, please mail this form to:
Wide Horizons For Children, Inc.
375 Totten Pond Road, Suite 400
Waltham, MA 02451
Attn: Applications Coordinator