Outreach Service Request Form
Thank you for your interest in the Wisconsin Center for the Blind and Visually Impaired Outreach Services! We are proud to offer a variety of services at no charge to school districts or families! Consultants work in conjunction with each student's Teacher of the Visually Impaired (TVI) and/or Orientation and Mobility Instructor (O&M). The TVI and/or O&M will be contacted following submission of an Outreach Service Request form.

An Outreach Service Request form is good for one year from date of submission!

If you need assistance filling out this form please contact Meghan Fredel at 608-758-4926.

After submitting this form, you will be contacted within two business days by an Outreach team member. At that time, we will be happy to provide you with program details and to assist you with registration paperwork.

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