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When Minnesota, its counties, healthcare providers and community organizations work to help people access Supplemental Security Income, they make life better for those struggling with disabilities, their caregivers, and Minnesotans as a whole.

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If you would like to fax a referral to Disability Outreach, please print this form and fax it to (763) 522-6711. Your referral will be assigned to a Disability Advocate for prompt follow-up. We look forward to screening and advocating for eligible individuals. If you have any questions, please call us at (800) 544-9925



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