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Deaf-Blind Communication Card

Deaf-Blind Communication Card

Design and print your own communication card
Name & Address
First name:
 Last name:
Street address:
City:
 State:
 Zip code:
In Case of Emergency
In case of emergency, please contact:
First name:
 Last name:
Relationship to you:
 Their phone number:
Declaration of Communication Needs
I am:
 To communicate with you, I will need:
Note: Selecting more than 6 items below may make your card too large to fit in a standard wallet without double folding.
ASL Interpreter
Hearing Aid/FM System
Tactile Signs
Mobile device
Print on Palm
Gestures
Pictures
Texting
Large Print
Braille
Paper/black marker

Image depiciting sample of a communication card.

After printing your communication card, cut along the outside dotted line then fold at the center dotted line for a business card sized communication card for easy storage in a wallet.

Note: If you you'd like for us to print and laminate your card, please email us all of your information from the fields in the form on the left side of this page. We will be happy to mail you your deaf-blind communication card.

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Kentucky Commission on the Deaf and Hard of Hearing | 632 Versailles Rd | Frankfort, KY 40601
(502) 573-2604 Voice | (800) 372-2907 Toll Free | (502) 416-0607 Videophone | (502) 573-3594 Fax | Contact Us

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