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Health, Safety and Work-Life (HSWL) Regional Practice Boston

Helping you balance your Work and your Life

Family Resource Program

 

Special Needs Program

About the Program

Enrollment

About the Program

Two family resource specialists (FRS) are assigned to Work Life Boston to manage the special needs program. They provide the following services. Please contact an FRS with any questions. We are here to help.

father picking up his daughter

 

Enrollment

Contact an FRS to enroll. The forms needed to enroll can be downloaded from this website, and include the Privacy Act and Special Needs Enrollment Form (to be filled out by you and your spouse) and the Special Needs Medical Form (to be filled out by a health care professional). Ensure your health care professional includes a list of all specialists seen by your family member and how often each specialist is seen.

DD 2792 Special Needs Family Medical Summary (link pending)

DD 2792-1 Special Needs Education/Early Intervention Form

Mail or Fax to your FRS: 

    Family Resource Specialist

    U.S. Coast Guard

    Health, Safety, and Work-Life Field Office Boston

    427 Commercial St.

    Boston, MA 02109

    Sensitive Material Fax: 617-223-3464 

 

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Last Modified 3/26/2014