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  • Pi-2015 Ocular Report - Wisconsin Department Of Public Instruction - Images Pcmac

Get Pi-2015 Ocular Report - Wisconsin Department Of Public Instruction - Images Pcmac

INSTRUCTIONS: Ocular information to be completed by a vision care specialist (ophthalmologist or optometrist). Send a completed copy to the referring individual or to the child s school district.

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How to fill out the PI-2015 Ocular Report - Wisconsin Department Of Public Instruction - Images Pcmac online

Filling out the PI-2015 Ocular Report is an important step in documenting ocular information for children with known or suspected visual impairments. This guide will help you through the process of completing the report online, ensuring all necessary information is provided accurately.

Follow the steps to successfully complete the ocular report online.

  1. Press the ‘Get Form’ button to access the ocular report and open it in the editor.
  2. Begin by completing the general information section. Enter details such as the student's name, date of birth, the parent's name, and contact information. Ensure you check the appropriate gender box for the student.
  3. Provide the necessary consent by having the parent sign and date the form for the Voluntary Release. This allows sharing of information with relevant agencies and is valid for three years.
  4. Fill out the background information section. Address any known concerns regarding hearing loss or additional disabilities, as noted by the teacher or caregiver.
  5. In the ocular information section, the eye care specialist will input details about the child's near and distant vision. Ensure all measurements are entered for both eyes, including corrections used and instruments applied.
  6. Complete the cause of blindness and visual impairment section. This includes documenting the present ocular conditions and their etiology as evaluated by the eye care specialist.
  7. Provide recommendations in the prognosis and recommendations section. This includes indications for follow-up exams, suggested treatments, and any necessary limitations for physical activities.
  8. Finalize the form by having the eye care specialist complete their information, including name, date of examination, address, and contact number.
  9. Once all sections are completed, save your changes, and choose to download, print, or share the filled-out form as required.

Take the next step towards successfully documenting visual impairment by filling out the PI-2015 Ocular Report online today.

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Visual acuity has been determined to be: a. For visually impaired – 20/70 to 20/200 in the better eye with best correction, or b. For legally blind, 20/200 or less in the better eye with best correction or a visual field measuring 50 degrees or less or c.

4 forms of visual impairment Central vision loss. The central part of the retina concentrates the cells responsible for visual acuity. ... Peripheral vision loss. In people with impaired peripheral vision, the visual field narrows. ... Blurry vision. ... Visual disorders following brain injuries.

Visual acuity has been determined to be: a. For visually impaired – 20/70 to 20/200 in the better eye with best correction, or b. For legally blind, 20/200 or less in the better eye with best correction or a visual field measuring 50 degrees or less or c.

Legally blind prescriptions are measured using “visual acuity”, which refers to the clarity of your vision. ing to the American Optometric Association, if you have a visual acuity of 20/200 or worse, even with correction, you are considered legally blind.

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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
Help Portal
Legal Resources
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