Practical Help for Low Vision Order Form

We are happy to send our audio materials in the mail. We just need some information first.

About You

Are you a family member of someone with low vision?
Are you a professional working with someone with Low Vision?

Select preferred format and topics of interest. (Note: DTB will contain all.)

Please send to:

What is their gender?
Does vision loss significantly affect their daily living?
What eye condition do they have? (select as many as apply)