Follow the steps to successfully fill out the screening report.

1. Press the ‘Get Form’ button to access the document and open it in the editor.
2. Enter the child’s personal data in the designated fields, including their name, race/ethnicity, district/school, MSIS number, gender, date of birth, grade, and age.
3. Proceed to Part I – Instrumental Assessment. In the Hearing Screening section, specify the instrument used and fill out the screening details for both left and right ears at the specified frequencies. Indicate whether the child passed or failed the hearing test.
4. Continue with the Vision Screening section under Part I. Note the instrument used, then fill in the necessary details for near and far vision for both eyes. Also indicate if the child was screened with glasses and whether they passed or failed the vision test.
5. Move to Part II – Functional Assessment. For hearing, respond to each question with 'yes' or 'no' based on your understanding of the child’s abilities. Provide an assessment by checking the appropriate box.
6. For the vision assessment, similarly respond with 'yes' or 'no' to each question regarding the child’s visual behaviors.
7. In the final section, describe any additional behaviors related to hearing and vision that should be taken into consideration for assessment and educational programming.
8. After completing all sections, save the changes, then download, print, or share the form as needed.

Complete the MS Gulfport School District Hearing/Vision Screening Report online today for a thorough assessment of your child's needs.