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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.

  1. Press the ‘Get Form’ button to acquire the TX DSHS M-60 document and open it in your editing tool.
  2. Begin by entering the child's name, birthdate, and age in the designated fields at the top of the form.
  3. For the distance acuity screen section, fill in the results from both the first and second screenings, including the type of chart used.
  4. In the automated screening device section, select the type of device used and input the screening results.
  5. Proceed to the Hirschberg corneal light reflex test section and indicate the results for each eye.
  6. Complete the cover and uncover test section by checking the appropriate boxes for eye movement results and recording any reasons for referral if applicable.
  7. For the screening certification, add the signature and printed name of the screener, along with the date of the screening.
  8. 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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Related links form

IL PTAX-343-R 2013 IL Pub 15.10 2010 IL PUB 31.3 2012 IL PUB 32.7 2012

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TX DSHS M-60
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