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BERRIES COUNTY HEALTH DEPARTMENT PRESCHOOL/KINDERGARTEN HEARING AND VISION FORM SCREENING LOCATION: SCREENING DATE: CHILD LEGAL NAME: BIRTHDATE: AGE MEDICAID NUMBER: CHILD PRIMARY LANGUAGE:MALEENGLISHORFEMALEOTHER
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How to fill out preschoolkindergarten hearing and vision

01
Gather the necessary forms and documents to fill out.
02
Ensure you have the child's personal information, such as name, date of birth, and contact information.
03
Fill out the sections related to the child's hearing. Provide any relevant information about the child's hearing abilities or any previous assessments or diagnoses.
04
Fill out the sections related to the child's vision. Include any details about the child's visual acuity or any vision issues that have been identified.
05
Make sure all the required fields are completed accurately and legibly.
06
Review the filled-out form for any mistakes or missing information.
07
Submit the completed preschool/kindergarten hearing and vision form to the appropriate institution or authority.

Who needs preschoolkindergarten hearing and vision?

01
Preschool and kindergarten students.
02
Parents or guardians of preschool and kindergarten students.
03
Schools or educational institutions that require hearing and vision assessments for admission.
04
Education departments or governmental bodies responsible for monitoring and ensuring the health and development of children entering preschool or kindergarten.
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Preschool/kindergarten hearing and vision screening is a requirement for children entering kindergarten to ensure they have the necessary senses to succeed in their learning environment.
Parents or guardians are typically responsible for submitting the necessary hearing and vision screening documentation for their child.
Parents can work with their child's healthcare provider to complete the required hearing and vision screenings and submit the necessary forms to the school.
The purpose of preschool/kindergarten hearing and vision screenings is to identify any potential hearing or vision issues early on so that interventions can be put in place to support the child's learning and development.
The screening results for both hearing and vision tests must be reported, along with any recommendations for follow-up care if necessary.
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