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How to Register/Refer
a Child
Procedures for
Registering a Child with NEC
If you suspect a child is not using
his/her vision and hearing or who is "at risk," download the registration packet or Spanish registration
packet the and please follow these steps. (Note: Registration packet is
in PDF format; please visit adobe.com to
download Acrobat Reader if you do not have it installed.)
- Complete NEC Initial Information Form and National Deafblind Census Code Sheet.
- Obtain signature on Parent Contact Release
Form. This form may be in addition to your agency or state form(s). Spanish Contact Release form.
- Attach the following reports/documentation:
- Most recent vision/opthalmological report (or functional vision assessment)
- Most recent audiological report (or functional hearing assessment)
- Most recent IEP, IFSP, ITP and other developmental documents
- Documentation of etiology if available
"You may begin the registration by sending in the Initial Information Form and Code Sheet only. However, registration of a child who is deafblind will only occur after all of the above documentation has been received and reviewed by the New England Consortium of Deafblind Projects."
4. Send all of the above information to:
New England Consortium of Deafblind Projects
Attn: Project Assistant
175 North Beacon Street
Watertown, MA 02472
Fax the forms to NEC at
617-972-7354.
Please make sure your forms are on white paper if
you are faxing them in.
Please note: Once a child has been registered and the
necessary documentation obtained, NEC
will send out the following to child's family and service providers/related
agencies:
- Eligibility Letter/NEC
Description
- Certificate of Eligibility
- Handouts and/or key articles related to deafblindness
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"Initial Child" Referral Process
There is an additional way to register
children you are currently working with. Use the Initial Child Referral Form.
By completing the categories required. We can temporarily register the child
with the national census as "pending" or "at risk" for one year.
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