Visually Impaired Templates

This Form is used for submitting a prior authorization or vision attachment for healthcare services in Wisconsin. It provides instructions on how to complete the form and includes important information for the authorization process.

This document provides a communication plan for students in Vermont who are deaf, hard of hearing, or deafblind. It outlines strategies and resources to support effective communication in educational settings.

This document provides a quick reference guide for Braille, a system of raised dots used by individuals with visual impairments to read and write. It includes the Braille alphabet, punctuation marks, and other symbols. Perfect for beginners or those needing a refresher on Braille.

This form is used to provide information on available options for applicants who may be blind or visually impaired in New York. It is available in French.

This form is used for applicants in New York who may be blind or visually impaired to inform them of their options.

This document is specifically used by healthcare professionals to record and evaluate an individual's color perception and detection ability. It can identify color blindness or other color vision anomalies.

This document is used for conducting a basic assessment of visual acuity and vision impairments in individuals with low vision in the state of Minnesota.