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Phone: (520) 2098081 ematyjasik cfsd16.org www.cfsd16.orgErin Matyjasik, PhD, CSP Special Services Director Health Services Department STUDENT HEALTH INFORMATION FORMS FORM MUST BE SUBMITTED TO THE
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How to fill out deaf and hard of

01
Start by collecting all the necessary information about the person who is deaf or hard of hearing, such as their name, contact details, and any specific communication needs they have.
02
Identify the appropriate form or document that needs to be filled out for the specific purpose, such as a job application, school enrollment form, or medical intake form.
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Begin filling out the form by entering the person's personal information, such as their full name, date of birth, and address. Make sure to double-check the accuracy of this information.
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Pay special attention to any sections or fields related to the person's hearing status or communication needs. Provide accurate and detailed information to ensure proper accommodations are made.
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If the form includes sections that require written responses, consider providing alternatives for individuals who may have difficulty writing, such as allowing for electronic or verbal responses.
06
Review the completed form for any errors or missing information. Make sure all required fields are filled out appropriately.
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If necessary, seek assistance from professionals or support services to ensure the form is accurately filled out and meets any specific accessibility requirements for individuals who are deaf or hard of hearing.
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Once the form is complete and reviewed, sign and date it to confirm its authenticity.
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Submit the filled-out form through the designated method, such as in-person delivery, mail, or online submission. Keep a copy of the completed form for future reference.

Who needs deaf and hard of?

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Deaf and hard of hearing individuals are a diverse group that includes people of all ages and backgrounds. They may require specific accommodations and support to effectively communicate and participate in various aspects of life.
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Some examples of individuals who may need assistance for deaf and hard of hearing include:
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- Students in educational settings who rely on sign language interpreters or captioning services to access information and communicate with their peers and teachers.
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- Employees in the workplace who may need communication devices, technology, or reasonable accommodations to perform their job tasks.
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- Patients in healthcare settings who require assistance from medical interpreters or assistive listening devices to understand medical instructions and receive appropriate care.
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- Individuals participating in public events or recreational activities who may benefit from captioning services or visual alerts to ensure equal access and inclusion.
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Overall, anyone who is deaf or hard of hearing may need support and accommodations in various aspects of their lives to overcome communication barriers and fully participate in society.
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Deaf and hard of refers to individuals who have varying degrees of hearing loss, ranging from mild to profound.
Individuals or organizations that provide services or benefits for deaf and hard of hearing individuals may be required to file documentation to report their activities or funding associated with these communities.
To fill out deaf and hard of forms, follow the instructions provided, which typically include entering personal information, details about services provided, and any financial information relevant to funding or grants.
The purpose of deaf and hard of documentation is to ensure that services meet the needs of the deaf and hard of hearing populations and to track funding appropriations for these services.
Required information usually includes demographic data, service types provided, funding sources, and outcomes or impacts of the services offered.
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