Vision Clinics Sign-Up Offering NEW Types of Clinics for 2019-20
Please use this form to sign your student up for one of the three types of vision clinics taking place this year. In order to plan for the school year, referrals must be submitted by September 13th.
Please contact Alisha Ragainis, Clinic Coordinator with questions at 608-758-6151, or
*Please use a different form for each student. Students attending clinics are generally age 5 and up.
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This form was created inside of Wisconsin Center for the Blind and Visually Impaired.
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