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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
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How to fill out illinois functional vision screening

How to fill out Illinois functional vision screening:
01
Obtain the necessary form: The Illinois functional vision screening form can be obtained from the Illinois Department of Public Health or your local school district. Make sure you have the correct and up-to-date version of the form.
02
Gather the required information: Before filling out the form, gather all the necessary information such as the student's name, age, grade, and any relevant medical or vision history. This will help provide accurate and complete information.
03
Administer the screening: Follow the instructions provided on the form to administer the functional vision screening to the student. This may involve tasks such as visual acuity testing, color vision testing, and observing the student's ability to track objects.
04
Document the results: Record the student's results accurately and legibly on the form. Make sure to fill out all the required fields and provide any additional comments or observations as necessary.
05
Review and sign: Review the completed form to ensure accuracy and completeness. If you are a healthcare professional or school personnel conducting the screening, sign the form to certify its authenticity.
06
Submit the form: Submit the completed functional vision screening form to the appropriate authority, such as the school nurse or designated school personnel. Keep a copy of the form for your records if necessary.
Who needs Illinois functional vision screening:
01
Students entering school: Illinois functional vision screening is typically required for students entering preschool, kindergarten, or first grade. This helps identify any visual impairments or deficiencies that may affect their learning and development.
02
Students with suspected vision issues: Even if a student has not reached an age/grade where functional vision screening is mandatory, they may still need it if they are suspected to have visual impairments or difficulties. This may be based on observations from teachers, parents, or healthcare professionals.
03
Students with known vision problems: Students who have already been diagnosed with visual impairments or conditions may still require regular functional vision screenings to monitor their vision and assess any changes or improvements.
04
Students with learning or behavioral difficulties: Visual impairments can sometimes be a contributing factor to learning difficulties or behavioral issues. Conducting functional vision screening for such students can help identify any visual factors that may be hindering their academic progress or behavior.
Overall, Illinois functional vision screening is essential to ensure that all students have access to appropriate vision care and support their academic and overall development.
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What is illinois functional vision screening?
Illinois functional vision screening is a mandatory process to assess visual acuity and functioning in individuals.
Who is required to file illinois functional vision screening?
Illinois functional vision screening must be completed by all individuals residing in Illinois.
How to fill out illinois functional vision screening?
Illinois functional vision screening can be filled out by a qualified healthcare professional or eye care specialist.
What is the purpose of illinois functional vision screening?
The purpose of illinois functional vision screening is to detect and address any vision issues early on to prevent further complications.
What information must be reported on illinois functional vision screening?
Illinois functional vision screening must include details of visual acuity, eye health, and any corrective measures needed.
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