Get the free Orientation and Mobility Referral Form - Appalachia Intermediate ... - iu08

EDUCATIONAL PROGRAMS AND SERVICES Amy J. Boomer, Director Jennifer Anderson, Assistant Director 4500 Sixth Avenue, Altoona PA 16602 814-940-0223 Phone / 814-949-0984 Fax INITIAL REFERRAL FORM ORIENTATION

How to fill out orientation and mobility referral

How to fill out an orientation and mobility referral:

1. Start by gathering the necessary information, such as the individual's name, age, and contact information.
2. Next, provide details about the reason for the referral. This may include any specific challenges the person is facing in terms of orientation and mobility.
3. Include any relevant medical information or conditions that may impact the individual's ability to navigate their environment.
4. Specify the desired goals and outcomes of the referral, such as improving independent travel skills or increasing confidence in navigating public spaces.
5. If applicable, include any previous assessments or evaluations that have been conducted regarding the individual's orientation and mobility skills.
6. It is recommended to include any additional information or documentation that may support the referral, such as medical reports, educational records, or input from other professionals involved in the individual's care.

Who needs orientation and mobility referral?

1. Individuals with visual impairments: Orientation and mobility referrals are most commonly made for individuals who are blind or have low vision. These individuals may require assistance in developing skills related to navigation, spatial awareness, and orientation to both indoor and outdoor environments.
2. Individuals with mobility impairments: Referrals may also be made for individuals with physical disabilities that impact their ability to move around independently. These individuals may benefit from training in adaptive techniques, assistive devices, and environmental modifications to improve their mobility and independence.
3. Older adults: Orientation and mobility referrals can also be relevant for older adults who may experience age-related changes in their vision or mobility. Training and support can help them maintain or regain independence in their daily lives.

Overall, anyone who faces challenges in orientation and mobility can benefit from a referral to orientation and mobility services. It is best to consult with professionals or service providers in this field to determine if a referral is appropriate and how to proceed.

For pdfFiller’s FAQs

What is orientation and mobility referral?

Orientation and mobility referral is a formal request or recommendation for an individual to receive services related to learning to navigate and move safely and independently in their environment.

Who is required to file orientation and mobility referral?

Orientation and mobility referral can be filed by parents, caregivers, teachers, or other professionals who work with individuals needing assistance with orientation and mobility skills.

How to fill out orientation and mobility referral?

Orientation and mobility referral can be filled out by providing detailed information about the individual's needs, challenges, and goals related to orientation and mobility skills.

What is the purpose of orientation and mobility referral?

The purpose of orientation and mobility referral is to ensure that individuals with visual impairments or other disabilities receive specialized instruction and support to navigate their surroundings safely and independently.

What information must be reported on orientation and mobility referral?

Information such as the individual's name, age, diagnosis, current skills and challenges, contact information, and any specific goals or concerns related to orientation and mobility should be reported on the referral.

How do I complete orientation and mobility referral online?

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