Alabama Institute

Forms To Request Services

The following forms must be filled out and signed by a parent or legal guardian in order to receive services.  Forms may be mailed, faxed, or scanned and emailed to oldenburg.jennifer@aidb.org.  Mailing address and fax number are listed on the forms.

Application for Services

Consent for Evaluation

Records Release Form

Deaf-Blind Registry

Each year, the U.S. Department of Education (USDE), Office of Special Education Programs (OSEP), requires Alabama to conduct an Annual Deaf-Blind Census.

Deaf-Blind Census Form / Child-Count Form

Alabama Initiatives for Children and Youth who are Deaf-Blind Staff

Jennifer Oldenburg
Lead Provider, Outreach for Deaf-Blind Services
Tel:   256-761-3241
Cell:  256-589-0678
oldenburg.jennifer@aidb.org

 
Wendy Darling
Project Director
Tel:   256-761-3312
VP:   256-474-4173
Cell:  256-368-1003
darling.wendy@aidb.org