Iowa Deafblind Services Project Mobile Menu
  • this is a button that is Represented with a small sized letter A, its purpose is to decrease font size A
  • this is a button that is Represented with a medium sized letter A, its purpose is to return to default font size A
  • this is a button that is Represented with a large sized letter A, its purpose is to increase font size A
  • Home
  • About
  • For Families
  • Resources
  • For Professionals
  • Transition Planning
  • Learning Opportunities
  • Communication Resources
  • Interveners
  • Technical Assistance Team
  • Technical Assistance
  • Services
  • Deafblind Registry
  • Contact
  • Iowa Deafblind Online Registry Form
  • Join us on Twitter
  • Follow us on Facebook
  • Deafblind Registry Referral (pdf)
  • Event

    Lorem ipsum

  • Home
  • About
  • For Families
  • Resources
  • For Professionals
  • Transition Planning
  • Learning Opportunities
  • Communication Resources
  • Interveners
  • Technical Assistance Team
  • Technical Assistance
  • Services
  • Deafblind Registry
  • Contact
  • Iowa Deafblind Online Registry Form
  • Join us on Twitter
  • Follow us on Facebook
  • Deafblind Registry Referral (pdf)
  • Event

    Lorem ipsum

Iowa Deafblind Online Registry Form

Deafblind Registry

Online Submittable Registry for the Iowa Deafblind Project
  • MM slash DD slash YYYY
  • Indicate the code(s) that best describes the individual
  • Indicate the code that best describes the individual’s Documented degree of hearing loss, or Indicates that “further testing is needed” (This testing must be completed within one year to remain on the registry.)
  • Other Impairments or Conditions; indicate any additional impairment or condition which has a significant impact on the individual’s developmental or educational progress.
  • Define the imapirment
  • Primary Identified Etiology: Select the one etiology code from the list that best describes the primary etiology of the individual’s primary disability. If “Other” is selected, please specify.
    Pick one for more specific options.
  • Select “888 Not Reported Under Part C” for any child who does NOT have an IFSP. (For example, if a child has an IEP, s/he is reported under Part B, and you will select “888 Not Reported Under Part C” in this section.)
  • What is the primary (first) disability code listed on the bottom of Page A of this child’s current IEP? Typically, in Iowa, this will be “EI – Eligible Individual”, which you will code “14 Non-Categorical” below. Select “888 Not Reported Under Part B” for any child who does NOT have an IEP. (For example, if a child has an IFSP, s/he is reported under Part C, and you will select “888 Not Reported Under Part B” in this section.)
  • Select the option which best describes the student’s participation in their last statewide assessment activities.
  • Note: A “yes” answer indicates an individual with the title and the function of an intervener OR from an individual with the function of an intervener working under a different title.
  • End of Registry

  • Questions? Please Contact Katy Ring Deafblind Project Coordinator/Consultant Iowa Educational Services for the Blind and Visually Impaired 3501 Harry Langdon Boulevard Council Bluffs, IA 51503 Mobile: (712) 310-4623 katy.ring@iaedb.org
  • This field is for validation purposes and should be left unchanged.

Connect With Us

  • Katy Ring
  • Deafblind Consultant & Project Coordinator
  • Iowa Educational Services for the Blind & Visually Impaired
  • 712-310-4623 (cell)

  • Heather Dirks
  • Family Engagement Coordinator
  • Iowa Deafblind Project
  • 515-380-1782

Affiliates

  • Early Access
  • Iowa EDHI
  • Access for Special Kids (ASK) Resource Center
  • Iowa School for the Deaf
  • Iowa Department of Education
  • Iowa Department for the Blind

© 2023 Iowa Deafblind Services Project

Iowa Deafblind Services Project is funded by a 5-year U.S. Department of Education grant (2018 – 2023) with additional support from Iowa Department of Education, Iowa School for the Deaf, Iowa Braille School, and Iowa's Area Education Agencies.

The contents of this document were developed under a grant from the U.S. Department of Education #H326T180013. However, those contents do not necessarily represent the policy of the US Department of Education, and you should not assume endorsement by the Federal Government. Project Officer, Rebecca Sheffield.