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  • Ne Garden County Schools Vision Evaluation Report Form 2011

Get Ne Garden County Schools Vision Evaluation Report Form 2011-2026

Grades including Kindergarteners, transfers, and other students new to Nebraska) Nebraska Revised Statute 79-214 Name: Date of Birth: School: Date: Student Status (check one): Beginner Grade Transfer Student from Out of State Recommend Further Evaluation REQUIRED TESTS* Pass Fail Amblyopia Strabismus Internal Eye Health External Eye Healt.

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How to fill out the NE Garden County Schools Vision Evaluation Report Form online

Completing the NE Garden County Schools Vision Evaluation Report Form online is an important step in ensuring that every child receives the necessary vision evaluation before entering school. This guide offers a clear, step-by-step approach to filling out the form, ensuring a smooth and efficient process.

Follow the steps to complete the vision evaluation report form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin filling out the form by entering the student’s name, date of birth, school, and the date of completion in the designated fields.
  3. Indicate the student status by checking the box corresponding to their situation: Beginner Grade or Transfer Student from Out of State.
  4. In the 'REQUIRED TESTS' section, record the results for each test by marking either 'Pass' or 'Fail' for the tests pertaining to Amblyopia, Strabismus, and Eye Health.
  5. Fill in the visual acuity results for both eyes at distance (20 ft.) and near (16 in.) indicating whether the vision was aided or unaided.
  6. Continue to the 'ADDITIONAL TESTS' section, where you will similarly take note of the results for each test, marking 'Pass' or 'Fail' as necessary.
  7. Provide any comments or recommendations for further evaluation in the designated comments section.
  8. Complete the evaluation by entering the name and signature of the individual performing the evaluation, along with the date of the evaluation.
  9. Once all fields are accurately completed, proceed to save any changes made, and download, print, or share the form as required.

Ensure your child's vision is evaluated timely by completing the NE Garden County Schools Vision Evaluation Report Form online today.

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