Get Vision Form

The Vision Form is a crucial document required for ensuring the proper vision health of children before they enter a child-care facility or school. This guide provides a clear, step-by-step approach to help you fill out the form accurately online.

Follow the steps to complete the Vision Form online.

1. Click ‘Get Form’ button to obtain the Vision Form and open it in your online editor.
2. Enter the school name where your child is enrolled or will be enrolled. This information is essential for processing the form.
3. Fill in your child’s name as it appears on their identification documents. Accuracy is important for documentation.
4. Next, provide your name as the parent or guardian responsible for submitting the form.
5. Complete the address section with your current and accurate home address, including city, county, and ZIP code.
6. List your child's birthdate in the specified format to ensure clarity regarding their age.
7. Include a telephone number where you can be reached for any follow-up or clarification regarding the form.
8. Indicate your child's age in years at the time of submitting the form.
9. Complete the distance acuity screen section by documenting the test results, including whether correction was used and the charts utilized for the screenings.
10. Add any comments or observations noted during the vision screening process for a comprehensive understanding.
11. If necessary, indicate any referrals to an eye care specialist based on the tests conducted, selecting the appropriate checkboxes.
12. Fill in the details of the screener, including the name, medical facility, address, and phone number for record-keeping.
13. Once all fields are accurately filled out, you can save changes, download, print, or share the form as needed.

Complete your Vision Form online today to ensure your child's vision health is properly assessed!