Client Referrals

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

Referrals for Children;  download and complete the Children’s Service Application below and then email your completed form to Stephanie Bissonette at Forms can also be mailed to our South Burlington office.

Children’s Service Application Packet 


Referrals for Adults; call toll free (800) 639-5861 ext. 230 and speak to our Social Services Intake Coordinator, Kim Irish-Aldrich. Be prepared to complete one of the forms below and either mail a copy to our Kimball Ave address or email them to:



Adult Services General Referral Form
Eye Care Provider Referral Form


The Referral Process:

1. Call  and speak to the Intake Coordinator, Kim Irish-Aldrich, 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!