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KY Eye Examination Form for School Entry 2015-2025 free printable template

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8/2000 Kentucky Eye Examination Form for School Entry KRS 156. 160. 8 g requires proof of a vision examination by an optometrist or ophthalmologist. This evidence shall be submitted to the school no later than January 1 of the first year that a child is enrolled in public school public preschool or Head Start program. PLEASE COMPLETE THE IDENTIFYING INFORMATION AND RECORDS IDENTIFYING INFORMATION Student Name Date of Birth Parent or Guardian Name...
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How to fill out KY Eye Examination Form for School Entry

01
Obtain the KY Eye Examination Form for School Entry from your child's school or the Kentucky Department of Education website.
02
Complete the child's personal information section including their full name, date of birth, and school name.
03
Have a licensed eye care professional perform the eye examination on your child.
04
Ensure the eye care professional fills out the examination results section of the form, including visual acuity and any necessary corrective prescriptions.
05
Review the entire form for accuracy and completeness.
06
Sign and date the form where indicated.
07
Submit the completed form to your child's school by the specified deadline.

Who needs KY Eye Examination Form for School Entry?

01
Children who are entering kindergarten or first grade in Kentucky.
02
Students who are transferring to a school in Kentucky from another state.
03
Any child who is referred for additional eye examination as part of their school health requirements.
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People Also Ask about kentucky eye examination form for school entry

Your eye doctor will ask you questions about your vision history and want to hear about any problems. He or she will also be interested in knowing if you have a family history of eye problems and other disorders or diseases that affect eye health, including diabetes, high blood pressure, and heart disease.
The eye examination usually takes around 20 – 30 minutes. During the examination, the optometrist will: ask you about: your general health.
An eye exam involves a series of tests to evaluate your vision and check for eye diseases. Your eye doctor is likely to use various instruments, shine bright lights at your eyes and request that you look through an array of lenses. Each test during an eye exam evaluates a different aspect of your vision or eye health.
During the exam An eye exam usually involves these steps: Measurement of your visual acuity to see if you need glasses or contact lenses to improve your vision. Measurement of your eye pressure. You'll be given a numbing drop in your eyes.
A comprehensive eye exam is very different from a routine eye exam because, in addition to checking for refractive eye errors, your eye doctor will also evaluate the overall health of your eyes by screening you for common eye diseases.
To leave your optometrist with the assurance of a valid prescription, be sure to prepare by following these five tips for your next eye examination. Note any medications you have been taking. Understand your family's medical history. Note your symptoms. Bring along your corrective lenses.

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The KY Eye Examination Form for School Entry is a document required for students entering certain grades in Kentucky, which verifies that a student has undergone a comprehensive eye examination.
Parents or guardians of students who are entering kindergarten or the first grade in Kentucky are required to file the KY Eye Examination Form for School Entry.
To fill out the form, parents or guardians should complete the student information section, provide details of the eye examination conducted by a licensed eye care provider, and ensure the form is signed by the examiner.
The purpose of the KY Eye Examination Form for School Entry is to ensure that students receive an eye examination to identify any vision problems that may affect their learning and performance in school.
The form must report the student's name, date of birth, the date of the examination, the results of the eye exam, any referrals for additional treatment, and the signature of the eye care provider.
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