Follow the steps to successfully complete the vision screening referral form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the date at the top of the form where indicated. This helps to document when the referral was made.
3. Fill in the subject line with the title 'Vision Screening Referral' for clarity regarding the document's purpose.
4. In the 'TO' section, specify the name of the parent or guardian of the child being referred. This personalization ensures that the correct individual receives the referral.
5. Check the appropriate boxes under the findings to indicate whether the child needs a complete examination at an eye clinic or if they require an annual eye examination due to wearing glasses.
6. Provide the contact information for scheduling the appointment, ensuring that parents know how to proceed.
7. Include any additional information as instructed, particularly regarding questions about the screening results or appointment scheduling.
8. In the screening results section, record the vision findings for both eyes, noting distance and near vision results as observed during the screening.
9. Ensure that the optometry clinic fills out their section, including results without glasses, corrected vision, ocular health status, and other evaluations. This portion of the form is critical for comprehensive assessment.
10. Once all sections are completed, review the entire form for accuracy and clarity before submitting.
11. Finally, save your changes, and choose to download, print, or share the filled form as needed.

Complete your DoDEA Vision Screening Referral online today to ensure timely eye care for your child.