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The Visual Impairment Services Team (VIST)
Coordinator is
the first contact for referrals for the
Blind Rehabilitation Centers, VISOR, VICTORS and BROS Programs as well
as some Low Vision Clinics. They are case managers who has primary
responsibility for the coordination of services for visually impaired
veterans and their families. Contact a VIST
Coordinator in your area.
Any VA health care facility
may make a referral to a
Blind
Rehabilitation
Center . The VIST
Coordinator or Social Worker assigned to blind rehabilitation program at
the appropriate VA facility prepares the application package and assures
that it is forwarded to the VA Medical Center housing a Blind
Rehabilitation program.
The application package for
the blind rehabilitation center should include the following:
1. A fully completed VA
form 10-10 Application for Medical Benefits, the related VA form 10-10M
Medical Certificate and History, and VA form 10-1 OF, Financial
Worksheet when necessary.
2. A cover letter briefly
stating the events leading to the referral.
3. A current and complete
physical examination, detailing all conditions that may affect progress
in rehabilitation, including a detailed statement of physical capacities
and tolerance, as well as pertinent radiology and laboratory reports.
4. A complete
ophthalmological report, containing corrected and uncorrected near and
distance visual acuities and measurements of peripheral and central
visual fields.
5. A social work report,
outlining the veteran's military, family, educational, social, and work
history and other relevant information.
6. An audiological report.
7. VA benefits rating
sheet.
8. Psychiatric and/or
psychological report, if necessary.
The application package
will be reviewed by the staff at the
Blind
Rehabilitation
Center to determine
appropriateness for admission to the blind rehabilitation center. The
veteran and the referring VIST Coordinator or social worker will be
informed of the decision. |