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Program Areas

Children & Youth Services
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Find a Program

Foster Care Programs
Post Adoption Services
Camp Bloomfield
Child Development Services (formerly Early Intervention or Blind Babies Foundation)

Children and Family Services (formerly Lilliput Families)
The Cottage (TSC)
Kinship Support Services Program
Mental Health Services

Recreation for the Blind or Visually Impaired
Family Trainings & Workshops
Special Education School
Transition Services

Assistive Technology Training
Camp Bloomfield
Children and Family Services (formerly Lilliput Families)
Davidson Program for Independence (Residential for Visually Impaired)

Employment Services
The Hatlen Center (Residential for Visually Impaired)
Older Individuals who are Blind (OIB)
Orientation and Mobility Training

Recreation for the Blind or Visually Impaired
Transition Services

Foster Care Programs
Post Adoption Services
Camp Bloomfield

Child Development Services (formerly Blind Babies Foundation program)
Child Development Services (formerly Early Intervention or Blind Babies Foundation)
Children and Family Services (formerly Lilliput Families)

Kinship Support Services Program
Mental Health Services
Recreation for the Blind or Visually Impaired

Inquiry Form for The Hatlen Center

Thank you for your interest in attending The Hatlen Center! Please complete the form below and a member of our team will be in touch.

Contact Information
Name
First Last
Parent's Name
Required for inquiring students under 18 years of age
First Last
Phone * Required
Email Address * Required
Address
Street Address City State Zip Code Country
Date of Birth
Month
Day
Year
Gender
- Male
- Female
- Other
Program Information
Desired start date
- As soon as possible
- Within the next 3 months
- Within the next year
- Unsure
Please give a general description of your goals in attending The Hatlen Center
Visual Impairment and Other Disabilities
Degree of vision
- Totally blind
- Light perception
- Legally blind (20/200)
- Legally blind (central field of less than 20 degrees)
- Legally blind (peripheral field of less than 20 degrees)
- Low vision (20/70 or less)
Onset of visual impairment
- Birth
- Before age 5
- Before age 15
- As an adult
Additional disabilities
- ADD/ADHD
- Autism spectrum disorder
- Deafness or hard of hearing
- Emotional disturbance
- Intellectual disability
- Orthopedic impairment
- Other health impairment
- Specific learning disability
- Speech/language impairment
- Traumatic brain injury
- Other
Accommodations
- Long cane
- Guide dog
- Walker
- Wheelchair
- Other
Referral
Referred by
- Self
- Regional Center
- Department of Rehabilitation
- Orientation & Mobility Specialist
- Teacher of the Visually Impaired
- Former Program Participant
- Other
Referrer's name
First Last
Referrer's email
Program funding source
- Department of Rehabilitation
- Regional Center
- Self
Education
Are you currently enrolled in school?
Are you currently enrolled in school?
- Yes
- No
School name
Demographics
Optional - Please note that the following questions are optional and are used for reporting purposes only
Ethnicity
- American Indian/Alaskan Native
- Asian
- African American/Black
- Caucasian/White
- Native Hawaiian/Other Pacific Islander
- Other
- Prefer not to answer
Personal annual income
Household annual income
Phone
Instagram
This field is for validation purposes and should be left unchanged.

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Department of Developmental Services
https://www.dds.ca.gov/general/appeals-complaints-comments/
This institution is an equal opportunity provider.

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