Membership Application

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

Spina Bifida Jacksonville
807 Children’s Way
Jacksonville, FL 32207

If you have any questions, please contact us at (904) 697-3914 or email us at jenna.price@spinabifidajax.org.


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
807 Children’s Way
Jacksonville, FL 32207

If you have any questions, please contact us at (904) 697-3914 or email us at jenna.price@spinabifidajax.org.