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School Vision Screening Form

vision screening & referral form,below are the results of the school vision screeningon the student named above . please complete the eye care specialist report and return the completed form to the school nurse listed above. a request is also made that you provide the parent/guardian with a copy of the report. school screening report 1st date screened _____ with screening guidelines for the school nurse,done with glasses on (be sure to mark the form) –watch carefully that student is not peeking, tilting head, squinting or leaning head or torso forward –begin by screening right eye with left eye occluded –instruct to keep both eyes open and read the selected letter or line of letters with the uncovered eye..lions vision screening consent form,lions vision screening consent form. the local uons club in your community is offering afree vision screening for your child. ascreening instrument will . scan your child's eyes to detect the presence of vision problems which could place your child at risk for developing . amblyopia ('lazy eye')..guidelines for school vision screening programs,vision screening, but only with training, and under the supervision of the school registered nurse. vision screening is mandated by c.r.s. 22-1-116.4 screening should be done in schools for the following reasons: 1) large numbers of children of many ages are readily accessible in schools.

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