Trivalley Health MCT Vision Screening Record Card 2003-2025 free printable template

MCT VISION SCREENING RECORD CARD STUDENT NAME: DATE ROOM# TEACHER: SCHOOL MALE / FEMALE AGE GRADE DOCTOR WEARS GLASSES or CONTACTS? YES / NO TESTED: WITH / WITHOUT (circle one) SCREENING RESULTS Distance

How to fill out vision screening results form

How to fill out Trivalley Health MCT Vision Screening Record Card

1. Begin by writing the date of the screening at the top of the card.
2. Fill in the patient's personal information including name, age, and gender.
3. Record the name of the person conducting the vision screening.
4. Indicate the type of vision assessment performed (e.g., visual acuity, color vision).
5. Document the results of each assessment in the designated areas on the card.
6. If any issues are found, make a note of the recommendations for follow-up.
7. Sign and date the record card at the bottom.

Who needs Trivalley Health MCT Vision Screening Record Card?

1. Children in school, especially those with reported vision issues.
2. Individuals participating in sports or physical activities.
3. Patients receiving routine check-ups or health screenings.
4. Community members in need of vision assessment services.

People Also Ask about

What line is 20 40 on the eye chart?

The third line is equivalent to 20/40, it is the driver's test line.

What is passing on vision screening?

Guidelines. • New AAP guidelines. – 3 years old: the critical line to pass screening is the 20/50 line. – 4 years old: the critical line to pass screening is the 20/40 line. – 5 years and older: the critical line to pass screening is the 20/32 line for Sloan and LEA/HOTV (or 20/30 in Snellen chart).

Which is better vision 20 20 or 20 40?

If you're wondering whether 20/40 is better than 20/20, the answer is no. 20/20 is considered “normal,” and 20/40 vision would be less than that. Generally speaking, the larger the bottom number of a visual acuity ratio, the less sharp your vision will be.

What are normal vision screening results?

For example, 20/20 is considered normal. 20/40 indicates that the line you correctly read at 20 feet (6 meters) away can be read by a person with normal vision from 40 feet (12 meters) away.

What does 20 40 and 20 60 vision mean?

For example, if your vision is 20/20, it means that from 20 feet away, you can see the smallest letters that should be seen at 20 feet. If your vision is 20/60, this means that from 20 feet away you can only see letters that would normally be visible at 60 feet.

What does 20 30 and 20 40 vision mean?

The top number is your distance in feet from the chart. The bottom number is the distance at which a person with normal eyesight can read the same line. For example, if you have 20/30 vision, it means your vision is worse than average. Twenty feet away, you can read letters most people see from 30 feet.

What is 20 20 vs 20 40 vision?

Someone with 20/20 vision doesn't have razor-sharp vision, but sees things at 20 feet that most people who don't need vision correction see at 20 feet. Hence the vision of 20/20. A person with 20/40 vision sees things at 20 feet that most people who don't need vision correction can see at 40 feet.

Is 20 15 vision better than 20 40?

If the second person has to move to 15 feet away to see the smallest line you could see, then you have 20/15 vision, which is slightly better than average. If the second person moves to 40 feet away and can still see the smallest line you can see, then you have 20/40 vision, which is worse than average.

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What is Trivalley Health MCT Vision Screening Record Card?

The Trivalley Health MCT Vision Screening Record Card is a document used for recording the results of vision screenings conducted for individuals, typically children, to assess their eyesight and identify any potential vision problems.

Who is required to file Trivalley Health MCT Vision Screening Record Card?

Health professionals and educators who conduct vision screenings, particularly in school settings, are required to file the Trivalley Health MCT Vision Screening Record Card to document the screening results for each individual assessed.

How to fill out Trivalley Health MCT Vision Screening Record Card?

To fill out the Trivalley Health MCT Vision Screening Record Card, individuals should provide the required participant information, record the results of the vision tests conducted, note any referrals or follow-up actions, and sign the document upon completion.

What is the purpose of Trivalley Health MCT Vision Screening Record Card?

The purpose of the Trivalley Health MCT Vision Screening Record Card is to maintain a record of vision screening results, facilitate follow-up care for those identified with vision issues, and ensure compliance with health regulations regarding children's eye health.

What information must be reported on Trivalley Health MCT Vision Screening Record Card?

The information that must be reported on the Trivalley Health MCT Vision Screening Record Card includes the participant's personal details, screening results (such as visual acuity), any identified concerns, recommendations for further evaluation, and the date of the screening.