Need Assistance

Prior to asking for assistance, please read the entire pALS Resource section to learn more about how Team Gleason can provide assistance.
Person Needing Assistance (pALS)
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Primary Caretaker Information
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Relationship to person needing assistance*
SLP or OT/PT Information
Provide contact information for the therapist you are working with for this request.
Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Phone
Email
Role
- SLP
- OT
- PT
I am interested in:*
- Mobility
- Equipment
- Communication Device
- Voice/Message Banking
- Home Automation
- Adventures
Please give details of the assistance you are seeking:*
Phone
This field is for validation purposes and should be left unchanged.

Newsletter Signup

Learn About ALS

Newsletter Signup

Latest News

Team Gleason and Permobil Foundation Announce 2019 Program to Help More People Living with ALS

For the second year in a row, Team Gleason and the Permobil Foundation are proud to announce a partnership that will continue to give more people with ALS access to expanded functionality on their Permobil wheelchairs. Team Gleason and Permobil have a shared passion...

Team Gleason Adds “My-Own-Voice” by the Acapela Group to Synthetic Voice Options for People Living with ALS

Team Gleason is proud to add another powerful option to its toolkit of technology solutions for people living with ALS. My-Own-Voice is a voice banking option that captures the essence of a person’s voice before they lose it due to ALS or other degenerative diseases....

Team Gleason Rolls Out National Home Automation Initiative

In Partnership with Axial Control, Team Gleason Aims To Give Those Living With ALS Greater Independence Through Home Automation Tools. 4.11.18 Click here to read press release

Events

Boo Classic

Peck's PALS Presents the 3rd AnnualBoo Classic Golf & Costume PartyMonday, October 28thAll net proceeds of the event will benefit Team Gleason, which provides much-needed support to individuals living with ALS.The cost to participate is $250 per player...

Click here to view our events.

© 2019 Team Gleason. All rights reserved. Privacy Policy