Date

Referral Name

Address

Dear,

My name is [insert name], Intake Specialist.  I received an e-mail referral for services. {or other type of referral i.e. I received a referral for services for you from Dr. Eye. I received a referral for services for you from the School District.}

I have attempted to reach you by phone regarding this referral.  Please find enclosed literature about IDB and our Vocational Rehabilitation Services to eligible citizens of Iowa.

My contact information is below.  Please call if you have more questions about the services or wish to apply.

Sincerely,

Name

Intake Specialist

Iowa Department for the Blind

1-800-362-2587

1-515-281-1357

www.idbonline.org

[email address]