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MARION COUNTY PUBLIC HEALTH DEPARTMENT COMMUNITYBASED CARE VISION SCREENING CLASS ROSTER SCHOOL: TEACHER Screener GRADE: ROOM: INITIAL SCREEN (far) R NAME L INITIAL SCREEN(near) R L DATE: COMMENTS.

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How to fill out the K-School 04 Vision Screening Class Roster9-13doc online

This guide is designed to assist you in accurately completing the K-School 04 Vision Screening Class Roster9-13doc online. We aim to provide a clear, structured approach to ensure all necessary information is filled out effectively.

Follow the steps to successfully complete the vision screening class roster.

  1. Click 'Get Form' button to access the form and open it in your online editor.
  2. Begin by filling out the school name in the designated field under 'SCHOOL'. Ensure the spelling is accurate as it is important for record-keeping.
  3. Enter the name of the teacher responsible for the class in the 'TEACHER' field.
  4. Provide the name of the screener, who will carry out the vision screenings, in the 'Screener' section.
  5. Fill in the grade level of the students participating in the vision screenings in the 'GRADE' field.
  6. Specify the room where the screenings will take place in the 'ROOM' section.
  7. In the designated columns for each student, enter their name in the 'NAME' field.
  8. Record the initial screening results for both far and near vision in the respective columns labeled 'INITIAL SCREEN (far)' and 'INITIAL SCREEN (near)'. Use 'R' and 'L' to indicate right and left eyes, respectively.
  9. Document the date of the screening in the 'DATE' field. It is recommended to use a clear format for easy reference.
  10. Add any relevant comments regarding each student's vision screening results in the 'COMMENTS' section as necessary.
  11. Continue to fill in the information for each student sequentially, from 1 to 20, ensuring accuracy in all details.
  12. Once all student information is entered, check the totals and referrals sections as necessary.
  13. After you have completed filling out the form, save your changes, download it for your records, print a physical copy, or share it with relevant parties.

Complete your documents online today for efficient management of your vision screening records.

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