Register or Refer a Child with NEC

Children who are eligible for deafblind services represent a diverse population with a wide range of sensory loss and communication abilities that may be mild or significant.

Please complete and submit one of the forms below as appropriate.

Learn if you are eligible for services »

NEC Referral/Registration



 Type of relationship you have with the child/student.



     
Select "Yes" if a Formal Referral is appropriate at this time (i.e., the family wants to receive services)

Select "No" if a Formal Referral is not appropriate at this time (i.e., the family does not want to receive services, this is not a priority for the family at this time, evaluation reports are not available, results inconclusive). The child/student and family members are anonymous. 

     
If you have any issues completing the form, please contact us at nec@perkins.org or call 617-972-7517