Learn more about Assistive Technology
How can technology help you stay in touch with your world? Find out more
Applying for VisAbility services is easy. Simply fill in our online application form to apply for services or make a referral. You can also contact us to start your VisAbility journey today.
Please note that forms marked with an asterisk (*) are required.
Before submitting this form the referrer must ensure that the referred person is aware of and has consented to being referred to VisAbility. A referral cannot be submitted or accepted without consent.
Maximum file size: 10MB
Age-related Macular Degeneration (wet/scar)
Age-related Macular Degeneration (dry/atrophy)
Cerebral Vision Impairment
Optic Nerve Hypoplasia
Best corrected distance visual acuity:
Peripheral field remaining in degrees from fixation:
If visual acuity is NOT less than 6/60 and field of vision is NOT constricted to less than 10 degrees from fixation:
Maximum file size: 3MB
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EverAbility Group Ltd is collecting your personal information so we can respond to your enquiry. You can read more about how we deal with your personal information in our Privacy, Dignity and Confidentiality Policy which you can access via the EverAbility website.