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Get Technical Assistance Request Form - Nd

Ld in Need of TA: Date of Birth: Address: Your Position (parent, teacher, psychologist, OT, PT, nurse): Type of TA requesting: Information/materials Home Visit Assessment Instructional Strategies School Observation/visit Family/Care-Giver issues In-service/training Equipment Use/ideas Phone Contact What topics would you like addressed? Auditory Training/Listening Skills Orientation and Mobility Skills (travel independence) Assessment Informa.

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