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  • Functional Vision Assessment Checklist Summary - New York City Bb - Text Nycenet

Get Functional Vision Assessment Checklist Summary - New York City Bb - Text Nycenet

Functional Vision Assessment Checklist Summary Date: Students Name: Age: Grade: School/Placement: Teacher of the visually impaired: Reason for assessment: New referral Triennial review Request Other:.

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How to use or fill out the Functional Vision Assessment Checklist Summary - New York City Bb - Text Nycenet online

This guide provides a comprehensive overview of how to effectively complete the Functional Vision Assessment Checklist Summary - New York City Bb - Text Nycenet online. Designed for educators and assessors, this checklist helps ensure that all relevant information regarding a student's visual abilities is collected for educational planning.

Follow the steps to accurately fill out the checklist online.

  1. Press the ‘Get Form’ button to obtain the Functional Vision Assessment Checklist Summary form and open it in your online editor.
  2. Begin completing the document by entering the date in the designated field. Fill in the student’s name, age, grade, and school or placement details in the respective sections.
  3. Indicate the teacher of the visually impaired’s name in the appropriate space.
  4. Select the reason for assessment from the choices provided: new referral, triennial review, or other. If selecting 'other', specify the reason.
  5. Document the nature and extent of the visual impairment, including the diagnosis and prognosis. Fill in the best-corrected acuity for near and distance vision.
  6. Specify the preferred eye and whether the student is binocular, along with the field of view and any preferred posture for viewing.
  7. Note any sensitivity to light or glare and describe the interventions needed, such as visors or glasses.
  8. Provide details on the current prescription and its indicated use, focusing on glasses and other aids as necessary.
  9. Discuss the educational implications of the student's eye condition, followed by a summary of general learning abilities.
  10. If applicable, describe any additional disabilities and their implications on learning.
  11. Complete the section on physical characteristics of instructional materials, noting identifying capabilities such as size or distance of objects.
  12. Fill out the instructional formats that can be seen, marking all applicable formats.
  13. Address written work by assessing its legibility for different audiences and the materials used.
  14. Evaluate vision-related behaviors such as how the student searches for designated objects and maintains attention.
  15. Incorporate social/emotional factors, including any expressed needs for assistance and the use of specialized materials.
  16. Conclude by suggesting recommendations for instructional modifications and adaptations of materials.
  17. Once completed, ensure all information is accurate, then save the changes, download, print, or share the completed form as needed.

Start filling out the Functional Vision Assessment Checklist Summary online today!

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A Functional Vision Assessment (FVA) can be a very useful tool to find out more information on how someone uses their vision. Our easy to use tool is suitable for use by carers, supporters and learning disability professionals. It should be completed by someone who knows the person with learning disabilities well.

Functional vision assessment (FVA) is conducted by a teacher to ascertain how a child is using vision to indicate the best format for educational materials or how to modify them. FVA begins with observation of the eyes to look for abnormalities, discharge, or muscle imbalances.

This FVA is an observational tool that can be used to recognise how a person with learning disabilities might be using their sight. It can give an indication of what a person might not see, or have difficulty seeing.

These skills should be assessed after the assessment of the student's ocular skills, visual acuity and visual fields. Visual Perception. ... Depth Perception. ... Visual Discrimination. ... Social Discrimination. ... Color Vision. ... Handwriting. ... Use of Technology.

These visual function outcomes include: visual acuity, contrast sensitivity, color, depth, and motion.

A functional vision assessment measures how well a child uses vision to perform routine tasks in different places and with different materials throughout the day. The functional vision assessment “paints a picture” of how a child uses vision and what visual skills the child needs to develop further.

If a student's vision is impacting their ability to access learning as determined by their educational team, a Functional Vision Assessment can be done by a teacher of students with visual impairments (TVIs) .

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232