Get Form M-60 (certificate Of Record For Vision Screen And/or Eye ...

This guide provides a step-by-step approach for users to effectively complete the Form M-60, which certifies the results of a vision screening or eye examination. By following these instructions, you will ensure that you fill out the form accurately and in a manner that meets legal requirements.

Follow the steps to fill out the Form M-60 online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. In the first section, enter the child's name, birthdate, and age. Make sure to double-check this information for accuracy.
3. For the distance acuity screen section, input the results of the first and second screenings. Record the dates and select the type of chart used (Letter 'E' or HOTV) as applicable.
4. For the automated screening device section, indicate the type of device used and input the results. Clearly mark if the results were a 'pass' or 'fail' for each test conducted.
5. Complete the Hirschberg corneal light reflex test results by marking 'pass' or 'fail'. Provide any additional comments or observations where necessary.
6. Fill in the cover and uncover test results similarly, indicating whether the eye movement was normal according to the dictates of the test.
7. In the screening certification section, the screener must sign their name and provide the date, ensuring to print their name for clarity.
8. Once all fields are completed, review the information for accuracy. Then, save your changes as needed, and choose to download, print, or share the form.

Fill out your Form M-60 online today to ensure your child's vision screening is documented properly.