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Diagnosis Myopia Hyperopia Astigmatism Strabismus Amblyopia Page 1 Continued on back Recommendations 1. Required for State of Illinois Kdg. students New students K-12 Eye Examination Report Due Sept. 15. Signature Parent Sign Here Date Date Source Amended at 32 Ill. Reg. effective Page 2 Printed by Authority of the State of Illinois 6/09 IOCI1271-09. Forms may be sent to Laurie Peterson at lpeterson christianheritage. org. Fax is 847-446-5267. Illinois law requires that proof of an eye...
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New students k-12 eye is a form used to collect information about students in kindergarten through 12th grade.
Parents or guardians of new students in kindergarten through 12th grade are required to file new students k-12 eye.
To fill out new students k-12 eye, parents or guardians must provide information about the student's name, age, grade level, address, and contact information.
The purpose of new students k-12 eye is to collect demographic information about students in kindergarten through 12th grade for educational purposes.
Information that must be reported on new students k-12 eye includes the student's name, age, grade level, address, and contact information.
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