Submit a Referral

Please complete the form below to submit a referral to the Kentucky Deaf-Blind Project. We will be in touch soon to assist with the referral.

The first seven questions are required, but we encourage you to provide as much additional information as possible. The more we know, the better we can help the child.

Referrals can be submitted online using the button below. For any questions or assistance, please contact kim.zeigler@nulluky.edu.