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 at 1-352-273-7529.

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

• BY FAX 352-273-8539
• OR Contact Shelly Voelker (shellyv@ufl.edu) for mailing instructions.
• Email is not a HIPAA-compliant means of exchanging protected information.

Referral Forms and Information

• For Families reporting their child with deaf-blindness
  
  For others making a referral:
• 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.
  
  To request individualized assistance:
• Consent for the Exchange of Information & Records,
  A parent/guardian needs to complete a Consent form, so that we can provide individualized information and services to a child or young adult with deaf-blindness, his/her family, and other educational team members. 
  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