Make a Referral or Request Assistance

Help  the Florida & Virgin Islands (FAVI) Deaf-Blind Collaborative to help children and youth
with deaf-blindness and their families!

Any family member or professional may report a child or young adult ( ages birth through 21) to the Florida deaf-blind registry
by contacting FAVI.

PLEASE SUBMIT ALL FORMS WITH ANY
IDENTIFYING INFORMATION (names, addresses, birth dates, social security numbers, etc.)

BY FAX 352-273-8539

OR POSTAL MAIL: Florida & Virgin Islands Deaf-Blind Collaborative
PO Box 100234, 1600 SW Archer Road, Gainesville, FL 32610

EMAIL IS NOT A HIPAA-COMPLIANT MEANS OF
EXCHANGING PROTECTED INFORMATION.

THANK YOU!

For Families reporting their child with deaf-blindness

Report a child or young adult to the deaf-blind registry

Once an individual has been reported to the Florida deaf-blind registry, a family, teacher, or educational team may request individualized assistance from the FAVI D-B Collaborative.

Consent for the Exchange of Information & Records,

Encourage families to complete a Consent form, so that we can provide information and offer services to children with deaf-blindness, their families, and their educational teams.  Once a family has provided consent, any family member or team member may make a request for Technical Assistance (training, consultation, individualized support) from the FAVI D-B Collaborative.

Request  for Technical Assistance