The Deafblind Manual Alphabet is one way for deafblind people to communicate. It may be the only way for some congenitally deafblind people to communicate. Congenital deafblindness causes people to be born deaf and blind or to develop it in early childhood.

When communicating using Deafblind Manual, the interpreter should sit on the right hand side of the deafblind person. This is especially important if the deafblind person can speak. If the deafblind person cannot speak then the person with the most to spell should sit on the right, and at an angle of about 90 degrees.

If you are talking to a deafblind person while standing or walking then the deafblind person should be on the left, with his/her right hand facing upwards so that he/she can be guided at the same time.

When you want to begin using Deafblind Manual, you should put your hand over the deafblind person's hand.

Writing is usually fingers to palm, taking care to avoid using fingernails.