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Midwest Brain Injury Clubhouse
  • HOME
  • GIVING
  • PROGRAMS
  • RESOURCES
  • SPONSORS
  • CALENDAR
  • CONTACT US

  • HOME
  • GIVING
  • PROGRAMS
  • RESOURCES
  • SPONSORS
  • CALENDAR
  • CONTACT US
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// RECENT NEWS \\

• ABC News Feb 2010
• ABC News in 2008

// PHOTOS \\
  • Clubhouse Program
// NEWSLETTER + MORE \\
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// ADMISSIONS \\
  • Referral Forms

Referral Forms

  • File

    2-22A Community Integration Questionnaire.doc

     (43K)
  • File

    2-42A Revised Application.doc

     (82K)
  • File

    2-49A Authorization to Release Information.doc

     (21K)
  • File

    2-9A Consent Form.doc

     (29K)
Midwest Brain Injury Clubhouse, 300 N. Elizabeth St.Suite 310C, Chicago, IL 60607. Telephone:312-226-8720 Fax:312-226-8722 The Clubhouse is a 501(c)(3) organization, EIN 36-4280164. Deborah Giesler, Executive Director. Helping Gray Matter!