Get Mct Vision Screening Record Card - ... - Trivalleyhealth

The MCT Vision Screening Record Card is an essential tool for documenting a student's vision screening results. This guide provides clear, step-by-step instructions for accurately filling out the record card online, ensuring all required information is captured effectively.

Follow the steps to complete the MCT Vision Screening Record Card accurately.

1. To obtain the form, use the ‘Get Form’ button to access the document and open it for editing.
2. Begin by filling in the student's name, date, room number, teacher's name, and school name in the respective fields.
3. Specify the student's gender by marking either 'Male' or 'Female' in the appropriate checkbox.
4. Input the student's age and grade level. This information is crucial for proper assessment.
5. Record the name of the student's doctor in the designated field for future reference.
6. Indicate whether the student wears glasses or contacts by selecting 'Yes' or 'No'.
7. Circle 'With' or 'Without' in the tested section to specify the conditions under which the screening was conducted.
8. For the screening results, measure and enter the distance vision for both the right and left eyes, using the provided scale (20/xx) and noting any 'UA' (unable to assess) appropriately.
9. Complete the binocular vision section by recording any esotropia (ESO) or exotropia (EXO) for distance and near vision.
10. Document the refractive error for both eyes at 180 and 90 degrees by selecting the appropriate value from the dropdown.
11. Assess color vision by indicating whether the student passed or not, along with any additional notes.
12. Lastly, review the entire form for accuracy, save changes, and prepare to download, print, or share the completed record card.

Complete the MCT Vision Screening Record Card online today to ensure accurate records for vision screenings.