Get Optometrist Exam Forms

Filling out the Optometrist Exam Forms online can be a straightforward process when approached with clarity. This guide will walk you through each step of the form, ensuring you provide all necessary information accurately.

Follow the steps to complete the Optometrist Exam Forms efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the student's name in the designated fields, including last, first, and middle initial. Next, fill in the birth date, sex, and grade level of the student.
3. Provide the name of the parent or guardian, followed by their phone number. Ensure that the area code is included in the phone number for accuracy.
4. Fill out the address section, which includes the number, street, city, zip code, and county. Make sure all fields are completed to avoid any delays.
5. Complete the date of examination. In the ocular history section, select the appropriate options to indicate whether the history is normal or has positive findings, and provide details if applicable.
6. In the medical history section, as in ocular history, indicate if it is normal or if there are positive findings. Specify any drug allergies in the drug allergies section.
7. For the examination section, provide the refraction measurements for both left and right eyes for unaided and best-corrected visual acuity. Indicate whether cycloplegic agents were used during refraction.
8. Complete the assessments in the external and internal exam areas, as well as neurological integrity, binocular function, accommodation and vergence, color vision, IOP, and oculomotor assessment. Mark the relevant boxes based on the examination findings.
9. Add any comments in the designated comments section to elaborate on the examination results or patient instructions.
10. Select the appropriate diagnosis options that apply. Ensure to provide a detailed diagnosis if the condition is not listed.
11. In the recommendations section, specify if corrective lenses are required, and if so, indicate the type of wear recommended.
12. Lastly, complete the consent section by having the parent or guardian sign, and provide the optometrist's or physician's name, signature, and phone number.
13. After filling out all sections, review the form for accuracy. Save your changes, and choose from options to download, print, or share the completed form.

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