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Get Pi-2015 Ocular Report - Wisconsin Department Of Public Instruction - Images Pcmac
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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.
- Press the ‘Get Form’ button to access the ocular report and open it in the editor.
- 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.
- 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.
- Fill out the background information section. Address any known concerns regarding hearing loss or additional disabilities, as noted by the teacher or caregiver.
- 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.
- 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.
- Provide recommendations in the prognosis and recommendations section. This includes indications for follow-up exams, suggested treatments, and any necessary limitations for physical activities.
- Finalize the form by having the eye care specialist complete their information, including name, date of examination, address, and contact number.
- 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.
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.
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