Potential Clients and
If you would like to request CNIB service in your area,
please complete Section A of the Request for Service form below and submit it
If you are
a family Doctor or Eye Care Specialist, you can play a key role in referring
patients for low vision rehabilitation services. If your patient would benefit
from CNIB services, please complete the Request for Service form below. Section
C - Eye Information to be completed by a Doctor must be completed by a family
Doctor or Eye Care Specialist as it assists the CNIB in determining how we can
better assist you.
Request for Service Form
Return the form by
CNIB Client Services
Attention: Yolanda Malabanan
1929 Bayview Ave
Toronto, ON M4G 3E8
Fax: (416) 480-7700
Depending on the number of requests in your area, it will
take at least two to three business days for someone to contact you.
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