FOR REFERRING DOCTORS

If you wish to refer a patient for Low Vision Service, Rehabilitation, Orientation and Mobility, Computer Access or other service, please print a copy of our CABVI Eye Exam Report, complete the information and fax to 513-221-2995.

If you wish to refer a child to the Early Childhood Intervention and Youth Services (ECYS), please print a copy of our ECYS Eye Exam Report, complete the information and fax to 513-221-2995.

You may also mail this form to: Cincinnati Association for the Blind & Visually Impaired, 2045 Gilbert Avenue, Cincinnati, OH 45202.

REFERRALS FOR SERVICE

Referrals are welcome from any source. CABVI provides services to anyone having difficulty due to vision loss.

• Eye Examination Report
• Adult Service Consent Form
• Early Childhood and Youth Services Examination Report
• Early Childhood and Youth Services Consent Form

To refer someone, please email contact information to info@cincyblind.org and a social worker will respond to your request.