Get Fillabe State Of Illionis Eye Report Form

Filling out the Fillabe State Of Illinois Eye Report Form online is an important step in ensuring your child's educational requirements are met. This guide will walk you through each component of the form, providing clear instructions to help you complete it efficiently.

Follow the steps to complete the eye report form online

1. Click ‘Get Form’ button to access and open the eye report form in your editor.
2. Begin filling in the student’s information. Enter the student’s name, birth date, gender, and grade required in the designated fields. Ensure the details are accurate as this information will be used by the school.
3. Fill out the parent or guardian's information. Include their name, phone number, and address, ensuring to provide the correct area code and full address accuracy.
4. In the case history section, specify the date of the examination and fill out the ocular history, drug allergies, and medical history as required. Select the appropriate options and provide necessary details.
5. Move on to the examination section. Accurately provide details of the uncorrected and best corrected visual acuity for both eyes. Indicate whether refraction was performed with dilation and fill in the results of various examinations including external exams, internal exams, and other tests as necessary.
6. Proceed to the diagnosis section. Check the applicable box for the diagnosis based on the results of the eye examination.
7. In the recommendations section, indicate any required corrective lenses and other pertinent recommendations, as well as any comments that may help clarify the examination results.
8. Provide the optometrist or physician's information including their printed name, address, phone number, and license number in the designated fields.
9. Lastly, ensure to have the parent or guardian sign and date the consent section, agreeing to release the information to the school.
10. Once all sections of the form are completed, you can save your changes, download the completed document, print it for submission, or share it electronically as required.

Start filling out your Fillabe State Of Illinois Eye Report Form online today to ensure compliance with school requirements.