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Iowa Department of Public Health CERTIFICATE OF VISION SCREENING Pursuant with Iowa Code Chapter 641.52RETURN COMPLETED FORM TO CHILD SCHOOL. Student Information (please print) Student Last Name:Student
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How to fill out certificate of vision screening
How to fill out certificate of vision screening
01
Ensure you have the correct form for the certificate of vision screening.
02
Fill out the personal information section including name, date of birth, and address.
03
Record the results of the vision screening accurately.
04
Have the form signed and dated by the healthcare professional performing the screening.
05
Make a copy of the completed form for your records.
Who needs certificate of vision screening?
01
Individuals applying for a driver's license.
02
Students enrolling in school.
03
Employees in certain industries such as transportation or healthcare.
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What is certificate of vision screening?
The certificate of vision screening is a document that verifies an individual has undergone a vision screening.
Who is required to file certificate of vision screening?
Certain individuals, such as school children and drivers, may be required to file a certificate of vision screening.
How to fill out certificate of vision screening?
The certificate of vision screening typically requires information such as the individual's name, date of birth, and the results of the vision screening.
What is the purpose of certificate of vision screening?
The purpose of the certificate of vision screening is to ensure that individuals meet certain vision requirements for activities such as driving or attending school.
What information must be reported on certificate of vision screening?
The certificate of vision screening may require information about the individual's vision testing results and the date of the screening.
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