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LOW VISION CLINIC REEXAMINATION INFORMATION FORM Sponsored by The Iowa Statewide System of Services to children who are blind/visually impairedPlease mark the box to the left of the date your child/student
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The low vision clinic pre-examination is a preliminary evaluation conducted at a clinic to assess a patient's visual impairment.
Patients with visual impairments or low vision are required to undergo a low vision clinic pre-examination.
To fill out a low vision clinic pre-examination, the patient must provide personal information, medical history, and details about their visual impairment.
The purpose of low vision clinic pre-examination is to determine the extent of visual impairment and recommend appropriate treatment or assistive devices.
Information such as patient demographics, medical history, visual acuity measurements, and recommended treatment options must be reported on low vision clinic pre-examination.
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