Get the free Vision Screening-Rescreen Form - comaction

East Central Illinois Community Action Agency Therefore Vision Screening/Re screen Form Teacher(s): Center: Session: AM PM ALL DAY Child's Name 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16.

How to fill out vision screening-rescreen form

How to fill out the vision screening-rescreen form:

1. Start by entering your personal information, such as your name, date of birth, and contact details.
2. Provide any relevant medical history, including past vision screenings or any vision-related conditions.
3. Indicate whether you wear corrective lenses or have any other visual aids.
4. Answer any questions about your current vision, such as whether you have experienced any recent changes in your eyesight or if you have any specific concerns.
5. Follow the instructions on the form to complete the visual acuity test, which may involve reading letters or numbers from a distance.
6. If applicable, undergo additional tests, such as color vision screening or depth perception assessment, and provide the results on the form.
7. Sign and date the form to indicate your consent and agreement with the information provided.

Who needs vision screening-rescreen form:

1. Students: Educational institutions often require vision screenings to ensure that students can effectively participate in academic activities.
2. Employees: Some companies or organizations may conduct regular vision screenings to promote workplace safety and productivity.
3. Driver's license applicants: Many states and countries require a vision screening as part of the driver's license application process.
4. Sports participants: Athletes may need to undergo vision screenings to assess their visual capabilities and ensure optimal performance.
5. Individuals seeking vision correction: People considering eyeglasses, contact lenses, or refractive surgery may need to fill out a vision screening form to determine their specific visual needs.

Overall, the vision screening-rescreen form is necessary for various individuals, ranging from students and employees to driver's license applicants and sports participants. By accurately completing this form, individuals can provide vital information about their vision health, aiding in the proper assessment and diagnosis of any visual conditions.

For pdfFiller’s FAQs

What is vision screening-rescreen form?

The vision screening-rescreen form is a document used to assess an individual's vision abilities and determine if further screening is necessary.

Who is required to file vision screening-rescreen form?

Individuals, usually school-age children or drivers, are required to file the vision screening-rescreen form.

How to fill out vision screening-rescreen form?

The vision screening-rescreen form can be filled out by providing information about the individual's vision test results and any recommendations for further screening.

What is the purpose of vision screening-rescreen form?

The purpose of the vision screening-rescreen form is to ensure that individuals meet the necessary vision requirements for specific activities, such as driving or attending school.

What information must be reported on vision screening-rescreen form?

The vision screening-rescreen form must include the individual's name, date of birth, vision test results, and any recommendations for further screening.

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