Flush leftCertificate of Record for Vision Screen and/or Eye Examination Certificate of Record for Vision Screen and/or Eye Examination Child 's Name Birthdate Age Child 's Name Birthdate Age Flush.
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How to fill out the TX DSHS M-60 online
The TX DSHS M-60 form, also known as the Certificate of Record for Vision Screen and/or Eye Examination, is essential for documenting vision screenings for children entering Texas public or private preschools or schools. This guide will provide a clear step-by-step approach to completing this form online.
Follow the steps to fill out the TX DSHS M-60 accurately.
- Press the ‘Get Form’ button to acquire the TX DSHS M-60 document and open it in your editing tool.
- Begin by entering the child's name, birthdate, and age in the designated fields at the top of the form.
- For the distance acuity screen section, fill in the results from both the first and second screenings, including the type of chart used.
- In the automated screening device section, select the type of device used and input the screening results.
- Proceed to the Hirschberg corneal light reflex test section and indicate the results for each eye.
- Complete the cover and uncover test section by checking the appropriate boxes for eye movement results and recording any reasons for referral if applicable.
- For the screening certification, add the signature and printed name of the screener, along with the date of the screening.
- Lastly, review all entered information for accuracy, then save your changes, and you may choose to download, print, or share the completed form as needed.
Complete the TX DSHS M-60 online to ensure your child's vision screening is recorded accurately.
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