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Get GA Form 3300 2013

in each eye for age 6 and P above, 20/40 in each eye for below age 6)  Needs further evaluation   nder professional care (explain below) U FOR SCHOOL SYSTEM ONLY 1st attempt Follow up for further evaluation 2nd attempt Screeners’ Comments: Actions reported (if any) Vision Hearing Dental Nutrition Student support services initiated on: DPH Form 3300 Rev. 2013 Georgia Department of Public Health Form 3300 Certificate of Vision, Hearing, Dental, and Nutrition Screening Who is req.

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