This tipsheet offers suggestions for the instructor who has a student with both a vision and a hearing loss, stressing that the first step is to talk with the student to determine what modifications are necessary. Specific recommendations are offered for the following areas: (1) use of student aids/accommodations (such as interpreters, notetakers, readers, and assistive listening devices); (2) physical classroom accommodations (lighting, seating, etc.); (3) use of handouts/ad hoc materials (such as, large print or Braille materials, taped textbooks, reading machines); (4) use of audiovisual materials (the need for modification when using videotapes, an overhead projector, or slides); (5) small group discussions/activities (such as use of clear ground rules, an interpreter, or assistive listening devices); (6) oral presentations; (7) exams (the format may need to be modified, interpreted, or given in a different setting); (8) field visits/labs; (9) teaching style; and (10) contacts for assistance. (DB)