~Application Definitions
Below are definitions relevant to completing an application.
Blindness Cause
Choose one of the following types for the cause of blindness (correlating 911 impairment cause codes are in parens).
Unknown
Albinism (Congenital Condition or Birth Injury)
Arteriosclerosis (Cardiac and other Conditions of the Circulatory System)
Cataracts (Physical Disorders/Conditions (not listed elsewhere)
Cerebral Vascular Accident (Stroke) (Stroke)
Congenital Eye Defect (Congenital Condition or Birth Injury)
Corneal Ulcers (Physical Disorders/Conditions)
Diabetic Retinopathy (Diabetes Mellitus)
Diabetic Retinopathy & Cataracts (Diabetes Mellitus)
Fuch’s Dystrophy (Congenital Condition or Birth Injury)
Glaucoma (Physical Disorders/Conditions)
Glaucoma & Cataracts (Physical Disorders/Conditions)
Heminopsia (Accident/Injury, #36 Stroke, #37 Traumatic Brain Injury)
Histoplasmosis (Physical Disorders/Conditions)
Ischemic Optic Neuritis (Physical Disorders/Conditions)
Macular Degeneration (Deterioration) (Physical Disorders/Conditions)
Macular Degeneration & Cataracts (Physical Disorders/Conditions)
Macular Degeneration & Glaucoma (Physical Disorders/Conditions)
Myopia (Congenital Condition or Birth Injury)
Retinal Detachments (Accident/Injury, #36 Stroke ,#13 Congenital Condition)
Retinitis Pigmentosa (Congenital Condition or Birth Injury)
Retrolental Fibroplasia (RLF) (Congenital Condition or Birth Injury)
Trauma (Accident/Injury)
Tumors (Cancer, #30 Physical Disorders/Conditions)
Other (Physical Disorders/Conditions)
Cataracts & Other (Physical Disorders/Conditions)
Glaucoma & Other (Physical Disorders/Conditions)
Macular Degeneration & Other (Physical Disorders/Conditions)
Aids (HIV and AIDS)
Impairment Type
Choose one of the following types for the Primary and Secondary Impairment fields on the application.
No impairment
Blindness
Other Visual Impairments
Deafness, Primary Communication Visual
Deafness, Primary Communication Auditory
Hearing Loss, Primary Communication Visual
Hearing Loss, Primary Communication Auditory
Other Hearing Impairments (Tinnitus/Meniere’s Disease/hyperacusis)
Deaf-Blindness
Communicative Impairments (expressive/receptive)
Mobility Orthopedic/Neurological Impairments
Manipulation/Dexterity Orthopedic/Neurological Impairments
Both Mobility and Manipulation/Dexterity Impairments
Other Orthopedic Impairments (e.g., limited range of motion)
Respiratory Impairments
General Physical Debilitation (fatigue, weakness, pain, etc.)
Other Physical Impairments (not listed above)
Cognitive Impairments (learning/thinking/processing info/concentration)
Psychosocial Impairments (interpersonal/behavioral/coping)
Other Mental Impairments
Impairment Cause
Choose one of the following causes for the Primary and Secondary Impairment fields on the application.
Cause unknown
Accident/Injury (other than TBI or SCI)
Alcohol Abuse or Dependence
Amputations
Anxiety Disorders
Arthritis and Rheumatism
Asthma and other Allergies
Attention-Deficit Hyperactivity Disorder (ADHD)
Autism
Blood Disorders
Cancer
Cardiac and other Conditions of the Circulatory System
Cerebral Palsy
Congenital Condition or Birth Injury
Cystic Fibrosis
Depressive and other Mood Disorders
Diabetes Mellitus
Digestive
Drug Abuse or Dependence (other than alcohol)
Eating Disorders (anorexia, bulimia, or compulsive overeating)
End-Stage Renal Disease & other Genitourinary System Disorders
Epilepsy
HIV and AIDS
Immune Deficiencies excluding HIV/AIDS
Mental Illness (not listed elsewhere)
Mental Retardation
Multiple Sclerosis
Muscular Dystrophy
Parkinson’s Disease and other Neurological Disorders
Personality Disorders
Physical Disorders/Conditions (not listed elsewhere)
Polio
Respiratory Disorders other than Cystic Fibrosis or Asthma
Schizophrenia and other Psychotic Disorders
Specific Learning Disabilities
Spinal Cord Injury (SCI)
Stroke
Traumatic Brain Injury (TBI)