Medical Reimbursement Form

Click here to download and fill out the medical reimbursement form. Once complete, please return to a Spina Bifida of Jacksonville representative or mail to:

Spina Bifida Jacksonville
2970 Mercury Road
Jacksonville, FL 32207

If you have any questions, please contact us at (904) 699-6640 or email us at jenna.price@spinabifidajax.org.