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Deaf and Hard of Hearing Program 799 W. Kensington Road Mount Prospect, IL 60056 Phone 8474638132 Fax 8474638121DEAF/HARD OF HEARING PROGRAM REFERRAL FORM I. STUDENT INFORMATION CHILDS NAME___PARENT/GUARDIAN
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Deaf and hard of hearing individuals.
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Individuals who are deaf or hard of hearing and want to report their status for accommodation purposes.
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