REFERRAL INFORMATION

To refer a client for services at World Services for the Blind, please submit the following information/documentation at least one week before the anticipated date of arrival:

1.   A completed and signed WSB Admissions Application & HIPPA Privacy Authorization Form (download below)

2.   Current medical history and medication list signed by client’s physician, and current insurance card

3.   Vision Report signed by client’s physician (dated no earlier than one year prior to admission date)

4. A current negative TB test (can be done at any health department or physician’s office) 

5.   Special dietary plan or listing of special medical needs

6.   Recent psychological evaluation if client has a history of psychiatric or psychological problems

7.   Copies of reports of evaluation or training activities, if applicable

8.   Authorization in the amount of $5,225.00 ($3,375.00 for training, and $1,850.00 for room & board) for first 30 days of training

Online Training

*If a client is wanting to pursue an online training program, please specify if wanting online training on the application under the section “Career Training Program” on page 2

1. A completed and signed WSB Admissions Application

2. Vision Report signed by client’s physician (dated no earlier than one year prior to admission date)

3. Copies of reports of evaluation or training activities, if applicable


Once this information/documentation has been received, it will be reviewed by WSB staff and, upon approval, an admission date will be confirmed. If you have questions or need additional information, please contact training@wsblind.org or call 800-248-0734.

Admissions Application & HIPPA Privacy Authorization Form (Must Download PDF to Fill and Save Application)

HIPPA Privacy Authorization Form

Fee Schedule (Effective May 1, 2018)

O&M Referral Process (Word)

O&M Referral Form (Word)

What to Bring (Word) (PDF)

Client Manual (Word)