College of Education and Human Development

Request Form

Welcome to the VATS North Request Form. Requests can be made by phone at (703) 993-3670 (local voice and text) or (800) 333-7958 (toll-free voice and text), by email at vatsn@gmu.edu, or by completing and submitting this online form.

Please click on one or more checkboxes to request Information, request VATS Publications, or make a referral for an Assistive Technology Demonstration, Training, or Screening.

Assistive Technology Information

Assistive Technology Demonstration

Assistive Technology Training

Assistive Technology Screening

VATS Publications

Please fill in all of the following information so that we may contact you.

Name:

E-mail address:

Phone Number:

Mailing address:

Message (optional):

Click on the Submit button below to send your request. Thank you.