Who is eligible?

Children living in Mississippi, birth through 21 years of age, with varying degeres of hearing and vision losses.

Who can request services?

Any parent, family member, or service/care provider of a child, birth through 21 years with both vision and hearing losses.

Referral Packet

If you have a child that is eligible for assistance through the MS Hearing-Vision Project, please print the following pdf file of our Registry Packet.  Fill out the check list, application, and consent/release of information forms and send them back to us along with supporting documentation.  Someone from our office will be in contact with you regarding your request.



Each form can also be downloaded separately if you wish:

Cover page for registry packet

Checklist - use this list to ensure that all necessary documents are submitted

registry_application - to be completed, signed and returned in order to have child placed on federal registry

release_of_information_form_2-6-2014 - needs to be signed and returned BEFORE MH-VP can work with child

Federal Definition of Deaf-Blindness

brochure - English

brochure - Spanish

business reply stamp for returning information.  Print, cut around the border and glue or tape to your envelope to send application and documentation back to the project.