CIMC Student Registration

The CIMC asks that teachers of students with visual impairments (TVIs) do 4 things every school year:

Step 1 Step 2 Step 3 Step 4
Register your students with visual impairment, including blindness (VIIB) the day vision services begin. Registration forms may be submitted every day of the year. Exit your students with VIIB the day they withdraw from your vision program. Exit forms may be submitted every day of the year. During the “Count 1” window, (October) you will be asked to confirm the registration information for your administrative unit (AU) or school district. During the “Count 2” window which begins on the Federal Quota Census Count Day (the 1st Monday in January), look at your entire AU registration and identify those students who meet the eligibility requirements of the Federal Quota Census (see below). You the CIMC to add them to the current January Federal Quota count and provide a copy of the current eye report you have on file as verification of eligibility along with a signed parent consent form.

 

To be eligible for an IEP: To be eligible for the Federal Quota Census Program:
Meet ECEA eligibility guidelines A student must be registered in a Colorado school district with a “written plan” (IEP, IFSP, 504 Plan, etc.) on Count Day – the first Monday in January every year
20/70 or worse with correction; or 20 degree or less visual field 20/200 (Snellen Equivalent) or worse with correction; or 20 degree or less visual field
Eye health exam on file in the school district of attendance with verification by an Optometrist or Ophthalmologist that the student “Meets the Definition of Blindness” (MDB)or “Functions at the Definition of Blindness” (FBD). If acuities cannot be obtained, try using the CIMC  MDB/FDB form.
Submit a signed Parent Consent form.

 

BVI REGISTRATION FORM Word

BVI Registration Form PDF

BVI REGISTRATION FORM Plain Text

CIMC PARENT CONSENT FORM (ENGLISH)

CIMC PARENT CONSENT FORM (SPANISH)

ANCHOR INFANT REGISTRATION FORM Word

ANCHOR INFANT REGISTRATION FORM PDF

ANCHOR INFANT REGISTRATION FORM Plain Text

CSDB INFANT REGISTRATION FORM Word

CSDB INFANT REGISTRATION FORM PDF

CSDB INFANT REGISTRATION FORM Plain Text

MDB/FDB Form:

Doctor Vision Acuity Form

CIMC Exit Form:

EXIT FORM Word

EXIT FORM PDF

EXIT FORM Plain Text

Information Related to VIIB Database Reports/Forms

COUNT 2 DIRECTIONS 2019

VIIB Database Report Directions

How To Read Your VIIB Database Report