Make a Referral

It is easy to refer a person for our services who is blind or visually impaired.

Eye Care Provider Referral Online Form
Eye Care Provider Referral Printable Form

Referrals for Children can be made by downloading and completing the Children’s Service Application below and emailing them to the Director of Children Services Stephanie Bissonette at sbissonette@vabvi.org. Forms can also be mailed to our South Burlington office.

Children's Services Referral Online Form
Children’s Services Referral Printable Form

Referrals for Adults call toll free (800) 639-5861 ext. 214 and speak to our Intake Coordinator, Andrea Hershberg, be prepared to complete one of the forms below and mail or email them to our office. 

Adult Services General Referral Online Form

Adult Services General Referral Printable Form

The Referral Process:

1. Speak to the Intake Coordinator, Andrea Hershberg, who will provide a brief overview of services available to help you or a loved one.
2. A certified instructor will call to schedule a home visit and get directions to your home.
3. An assessment will be conducted to identify your goals and set a plan of action in place. A low vision evaluation will also be conducted to determine if magnification will be helpful.
4. Our service is client-driven. Ongoing home visits will occur until all options have been explored, unless you choose otherwise.

Referrals can be received by mail or phone; from doctors, health care providers, family members, friends or individuals themselves.

All of our rehabilitation training is free of charge to our clients!