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  • Ia Kidsight Collaborative Project Consent Form 2017

Get Ia Kidsight Collaborative Project Consent Form 2017-2026

Consent Form Iowa KidSight Collaborative Project Iowa Area Education Agency Date of Screening: Has this child seen an eye doctor within the last year? No YesIf yes, the screening is not necessary.

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How to fill out the IA KidSight Collaborative Project Consent Form online

This guide provides step-by-step instructions on how to complete the IA KidSight Collaborative Project Consent Form online. It is designed to support users through the process while ensuring a clear understanding of each component.

Follow the steps to successfully complete the consent form.

  1. Click 'Get Form' button to access the IA KidSight Collaborative Project Consent Form. This will allow you to open the form for online completion.
  2. Begin by filling out the child's name in the designated fields, ensuring to include the first, middle, and last names along with initials.
  3. Indicate the child's gender by selecting either male or female in the provided checkboxes.
  4. Enter the child's date of birth using the format MM/DD/YYYY.
  5. Provide the child's age in the appropriate field based on their date of birth.
  6. Next, fill in the parent's name, followed by their complete address, city, and zip code.
  7. Input the home phone number, work phone number, and cell phone number in the specified fields.
  8. Enter the parent's email address in the designated area for communication purposes.
  9. Review the consent statements regarding the screening process, ensuring you understand all terms laid out regarding the program's nature, privacy, and liability.
  10. Sign the form in the appropriate section to indicate your consent for the child's participation.
  11. Finally, enter the date of signing the consent form for record-keeping purposes.

Complete the IA KidSight Collaborative Project Consent Form online today to ensure your child's participation in the vision screening.

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