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Child's Name BirthDate Age Sex: M × F Parent×Guardian Phone No. Address Date Illinois Functional Vision Screening Tool (for use by families, DTS, DTS and Service Coordinators) This screening tool
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How to fill out illinois functional vision screening

How to fill out Illinois Functional Vision Screening:
01
Start by gathering all the necessary materials for the screening, including the Illinois Functional Vision Screening Form, a pen or pencil, and any additional tools required for testing vision.
02
Begin by entering the relevant information at the top of the form, such as the student's name, date of birth, and date of the screening.
03
Read through the instructions on the form carefully to understand the requirements and procedures for conducting the screening.
04
Proceed to administer the screening tests as outlined in the instructions. This may include assessing visual acuity, visual field, eye movement, and other aspects of functional vision.
05
Record the results of each test on the form accurately and legibly. Ensure that all required fields are filled out properly.
06
If any issues or abnormalities are detected during the screening, make note of them on the form and consider referring the student to an eye care professional for further evaluation or intervention.
07
Once all the tests have been completed and the results recorded, review the form to ensure that all necessary information has been provided. Double-check for any errors or omissions.
08
Sign and date the form at the bottom to verify that the screening was conducted accurately and in accordance with the instructions.
09
Keep a copy of the completed form for your records and provide a copy to the appropriate parties, such as the student's parents/guardians and school administrators, as required.
Who needs Illinois Functional Vision Screening:
01
The Illinois Functional Vision Screening is typically required for students in the state of Illinois.
02
This screening is especially important for students who may have visual challenges or disabilities that could affect their ability to learn and perform various tasks in an educational setting.
03
It is recommended that all students undergo this screening at a specific age or grade level to identify any vision-related issues that may require further attention or support.
04
The screening helps to ensure that students receive appropriate vision care, including corrective lenses, eye exercises, or other interventions as needed, in order to optimize their learning and overall development.
05
Additionally, the results of the Illinois Functional Vision Screening can provide valuable information to educators, allowing them to make informed decisions about instructional strategies and accommodations for students with visual impairments or related conditions.
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What is illinois functional vision screening?
Illinois functional vision screening is a mandatory program by the state of Illinois to assess a student's visual abilities.
Who is required to file illinois functional vision screening?
Illinois functional vision screening must be completed by all students in the state of Illinois.
How to fill out illinois functional vision screening?
Illinois functional vision screening can be filled out by trained professionals such as optometrists or ophthalmologists.
What is the purpose of illinois functional vision screening?
The purpose of illinois functional vision screening is to identify any visual impairments that may affect a student's ability to learn.
What information must be reported on illinois functional vision screening?
Illinois functional vision screening must include the student's visual acuity, eye tracking, and depth perception.
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