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Services for the
Blind/Visually Impaired
Manitoba Education, Citizenship and Youth
 

Visual Consultant Services Eligibility and Application

Eligibility

Students whose best corrected visual acuity is 20/70 or less or who have less than 20 degrees of field of vision, or whose data reveals extenuating conditions (e.g. deteriorating eye condition) as determined by the Program Coordinator, are eligible for services.

Application

Application for services of a consultant for the visually impaired requires:

  • Submission by the school of a completed Referral form with the appropriate school and parental signatures
  • An Eye Report (authorized and signed by the parent/guardian) and completed by an eye care practitioner based upon an eye examination conducted within the preceding 12 months

The completed Referral and Eye Report forms are assessed by the Coordinator of Services for the Visually Impaired and assigned to the appropriate vision consultant. The assigned consultant will make contact with the school upon receiving the reports from the Program Coordinator.

Referral Form

PDF file ( Adobe Acrobat Reader 44 KB)

MS-Word file (Word Icon 95 KB)

Eye Report

PDF File ( Adobe Acrobat Reader 94 KB)

MS-Word File (Word Icon 112 KB)