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  • Functional Vision Screening Form - Tuscaloosa County Schools

Get Functional Vision Screening Form - Tuscaloosa County Schools

Tuscaloosa County Schools Post Office Box 2568 Tuscaloosa, AL 35403 Central Office: (205) 758-0411 FUNCTIONAL VISION SCREENING FORM Student s Name: School: Grade: Parent(s) Name: Address: YES NO OBSERVATIONS.

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How to fill out the Functional Vision Screening Form - Tuscaloosa County Schools online

This guide provides a clear and supportive approach to completing the Functional Vision Screening Form for Tuscaloosa County Schools online. Follow these steps to ensure your form is filled out accurately and comprehensively.

Follow the steps to successfully complete the form.

  1. Press the ‘Get Form’ button to acquire the form and open it for editing.
  2. Begin by entering the student's name in the designated field. This ensures that the screening is linked to the correct individual.
  3. In the next section, input the school name where the student is enrolled, followed by their grade level.
  4. Provide the parent's or guardian's name in the appropriate field. This information is crucial for contact purposes.
  5. Fill in the address for the student, ensuring accuracy as it may be needed for correspondence.
  6. Respond to the yes/no questions provided in the form by marking the appropriate boxes. Each question pertains to the visual abilities of the student.
  7. For the observations section, record your findings related to the pupillary reaction, blinking, peripheral orientation, and other specified actions.
  8. Indicate the responses for tracking abilities, fixation, and convergence tasks, specifying whether the action applied to light or objects.
  9. If necessary, list any additional objects the student picks up or tracks in the fields provided.
  10. Finally, document any action taken based on the observations and make sure to include the name of the person who screened the student along with the date of the screening.
  11. After completing the form, review all entries for accuracy. Once satisfied, you can save your changes, download, print, or share the form as needed.

Complete the Functional Vision Screening Form online today.

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