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PATIENT APPLICATION

Thank you for applying for Cleaning for MS, our free house cleaning program for people with multiple sclerosis. Any woman, man, or child in the Dallas Fort Worth area who has multiple sclerosis is eligible for our services.  You may fill out the application for yourself or on behalf of someone you know who has MS and needs this service. 

If approved, we will contact you to arrange cleaning services. Please note that this is not a guaranteed service. If you don't receive an email from us, please feel free to contact us.

Patient Application

Thank you! We’ll be in touch.
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