Print form and mail to:

Project for New Mexico Children & Youth Who Are Deafblind
Center for Development and Disability
2300 Menaul NE
Albuquerque, NM 87107

OR fax to: (505) 272-5280

Call (877) 614-4051 for more information.

Please check the area(s) in which you would like assistance and specify the assistance needed.

Identification of students who are deafblind (e.g., review of records, at-risk factors). 
Please specify:

Inclusion/Integration (e.g., strategies for including students with dual sensory impairments in the regular classroom, child care settings, natural environments, adapting activities; achieving IEP objectives or IFSP outcomes). 
Please specify:

Functional Assessment (e.g., evaluating the individual within daily environments to determine functional needs, significant other interviews, writing functional IEP goals and objectives or IFSP outcomes). 
Please specify:

Functional Curriculum (e.g., emphasizing meaningful skills and activities for maximizing independence now and in the future; emphasizing age-appropriate skills; teaching skills within natural routines and activities; activity-based instruction).
Please specify:

Systematic and Data-based Instruction (e.g., individualizing instructional plans, documenting progress, modifying plans based on student performance). 
Please specify:

Communication (e.g., nonsymbolic communication strategies, augmentative/alternative communication, object/picture schedules). 
Please specify:

Community-based Instruction (e.g., establishing community-based instruction, teaching in the community, instruction in natural environments). 
Please specify:

Other. 
Please specify: