Manitoba
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Education, Citizenship and Youth

Services for the Blind/Visually Impaired

Forms

Alternate Format Services

K-12 Book Order Loan
K-12 Braille Tactile Request
Interlibrary Loan

Post-Secondary Book Order Loan

Post-secondary Request
PDF file ( Adobe icon 66 KB)
Word file ( Word Icon 84 KB)

Form Help

 

Visual Consultant Services

Referral
PDF file (Adobe icon 44 KB)
Word file (Word Icon 95 KB)

Eye Report
PDF file (Adobe icon 94 KB)
Word file (Word Icon 112 KB)

 

Vision Screening Results Forms

English PDF file ( Adobe icon 83 KB)
English Word file ( Word Icon 40 KB)
French PDF file ( Adobe icon 145 KB)
French Word file ( Word Icon 68 KB)