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Free Intake — No Obligation

Let's start fighting for
your child's benefits

Fill out the form below and a member of the Advocacy Bridge team will contact you within one business day to discuss your child's situation and next steps.

Contact Us Directly
📞 (984) 277-3150
📠 Fax: (984) 983-5307
info@theadvocacybridge.com 🌐 www.theadvocacybridge.com

What happens next?

📬
We review your intake We look over your child's situation and any information you share with us.
📞
We reach out within 1 business day A member of our team calls or emails to schedule your free consultation.
🗺️
We build your plan together We walk through the SSI process and explain exactly what we'll do for your family.
🛡️
We become your representative Once you decide to move forward, we file our representation paperwork with SSA.

Our Commitment to You

  • Free initial consultation — always
  • No surprises: we explain our fees upfront
  • We communicate in plain language, not legal jargon
  • We handle all SSA paperwork and phone calls
  • We represent children ages 0–17 only
  • We connect you with attorneys if court is needed

Child SSI Intake Form

This information helps us understand your child's situation before we speak with you. All information is kept confidential.

Parent / Guardian Information
Child's Information
Child's Disability or Condition

Select all that apply (you don't need a formal diagnosis yet):

Application Status
Anything Else You'd Like Us to Know?

By submitting this form, I understand that Advocacy Bridge will contact me to discuss my child's SSI case. This form does not create a client relationship and does not constitute legal advice. All information shared is kept confidential.