DoDEA 2500.13-G-F29 2005-2025 free printable template

VISION-HEARING-MEDICAL SCREENING Case Study Committee Referral Student Date of Birth Teacher Grade Vision: Date Screened Distance Near Without Glasses R 20/ L/ R 20/ L/ Instrument Used: Titus With

How to fill out school vision screening form

How to fill out DoDEA 2500.13-G-F29

1. Begin by gathering all necessary personal information including your name, contact details, and position.
2. Obtain the DoDEA 2500.13-G-F29 form from the appropriate DoDEA official website or office.
3. Carefully read the instructions on the form before starting to fill it out.
4. Fill in the required fields accurately, ensuring all information is complete.
5. If the form includes sections for signatures, ensure that you and any required signatories sign the form where indicated.
6. Review the completed form for any errors or omissions.
7. Submit the filled-out form through the designated submission process outlined in the instructions.

Who needs DoDEA 2500.13-G-F29?

1. DoDEA 2500.13-G-F29 is needed by staff and personnel who are involved in Department of Defense Education Activity operations.
2. It may also be required for individuals seeking certain approvals, authorizations, or benefits linked to DoDEA programs.
3. Additionally, educators and administrators within DoDEA schools who need to document specific activities may require this form.

People Also Ask about visual acuity test form

How do I submit my vision test to MD DMV?

for the MVA's website or self service kiosk: vision exam results must be submitted electronically by an Authorized Online Vision Certification Provid​er​ for mail-in-renewal: customers are required to have their vision provider complete the vision certification on the back of their renewal form.

What is the difference between 99172 and 99173?

99173 only covers visual acuity testing whereas 99172 covers visual acuity, color vision and visual field testing.

How do you document eye vision?

Visual acuity is recorded as chart distance (numerator) over the number of the lowest line read (denominator): If the patient reads the 6/6 line but gets 2 letters incorrect, you would record this as 6/6 (-2). If the patient gets more than 2 letters wrong, then the previous line should be recorded as their acuity.

Can you bill 99177 and 99173 together?

Instrument-based ocular screening (99174 and 99177) cannot be filed on the same day as visual acuity testing (99173).

What is the difference between 99177 and 99173?

CPT code 99177 is now available for the use of photoscreening devices that produce an immediate result in the office, enabling pediatricians to seek payment for its use. CPT 99174 is for use following remote interpretation of the images. CPT code 99173 is specific for visual acuity screening using an eye chart.

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What is DoDEA 2500.13-G-F29?

DoDEA 2500.13-G-F29 is a document used by the Department of Defense Education Activity (DoDEA) that outlines guidelines and procedures for reporting educational data and assessments within DoDEA schools.

Who is required to file DoDEA 2500.13-G-F29?

Individuals and entities involved in the administration of educational programs, including school administrators and teachers within DoDEA schools, are typically required to file DoDEA 2500.13-G-F29.

How to fill out DoDEA 2500.13-G-F29?

To fill out DoDEA 2500.13-G-F29, individuals must provide accurate educational data as required by the document, ensuring all sections are completed with relevant information and submitted according to the specified guidelines.

What is the purpose of DoDEA 2500.13-G-F29?

The purpose of DoDEA 2500.13-G-F29 is to facilitate the collection and reporting of educational data, ensuring compliance with federal and DoDEA regulations while supporting informed decision-making in education.

What information must be reported on DoDEA 2500.13-G-F29?

Information that must be reported on DoDEA 2500.13-G-F29 includes student performance data, attendance records, program participation details, and any other relevant educational metrics as outlined in the guidelines.