Get the free Request for Orientation & Mobility Services

This document serves as a formal request for orientation and mobility services for students receiving CASE Vision Itinerant Services. It requires approval from a CASE vision itinerant teacher and includes necessary student and parental information, as well as consent documentation. The form also addresses the school-based contact information and the reasons for the service request.

How to fill out request for orientation mobility

How to fill out request for orientation mobility

1. Obtain the request form for orientation mobility from your local service provider or online.
2. Fill out personal information including name, address, and contact details.
3. Provide information regarding your mobility needs and any specific difficulties experienced.
4. Indicate the preferred mode of orientation (e.g., in-person assessment, virtual support).
5. Include any relevant medical or educational documentation to support your request.
6. Review the completed form for accuracy and completeness.
7. Submit the form to the designated service provider, either by mail or electronically.

Who needs request for orientation mobility?

1. Individuals with visual impairments or blindness who require assistance in navigating their environment.
2. People seeking to enhance their mobility skills for increased independence.
3. Students with orientation mobility needs to succeed in educational settings.
4. Individuals transitioning to new locations or facing mobility challenges.

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What is request for orientation mobility?

A request for orientation mobility is a formal submission made to seek assistance or resources related to mobility training, typically for individuals with visual impairments or other disabilities that affect their ability to navigate safely.

Who is required to file request for orientation mobility?

Individuals who require orientation and mobility services, typically those with visual impairments or significant mobility challenges, are required to file a request.

How to fill out request for orientation mobility?

To fill out a request for orientation mobility, individuals must complete the designated form, providing personal information, details about their mobility needs, and any other required information as specified by the agency overseeing the request.

What is the purpose of request for orientation mobility?

The purpose of a request for orientation mobility is to provide individuals access to necessary training, resources, or services that enhance their ability to navigate their environment safely and independently.

What information must be reported on request for orientation mobility?

Information that must be reported includes the individual's name, contact information, nature of mobility challenges, date of request, and any relevant medical or educational background.