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Request a Blue Envelope or Deaf Visor Card

Using this form, you may request a Blue Envelope or a Deaf Visor Card.

The Blue Envelope and the Deaf Visor Card are free and easy to use. You do not need to produce medical records or register for either.

No one will know you are requesting or using either unless you tell them.

Please send me
Maximum of 5 per request.
Maximum of 5 per request.
Name
Mailing Address
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