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School District Name Here VISION SCREENING PARENT/GUARDIAN NOTIFICATION OF RESULTS AND REFERRAL Student Name: ___ DOB: ___/___/___ Date: ___ Student Address: ___ Grade: ___ School Name: ___ School
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How to fill out vision screening parentguardian notification

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How to fill out vision screening parentguardian notification

01
Review the vision screening parent/guardian notification form.
02
Fill out the student's information including name, date of birth, and grade.
03
Check off whether the student passed or failed the vision screening.
04
Sign and date the form as the parent or guardian.
05
Return the completed form to the school or healthcare provider as instructed.

Who needs vision screening parentguardian notification?

01
Students who are required to undergo vision screening by their school or healthcare provider.

What is Vision Screening Parent/Guardian Notification Results and ... Form?

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Vision screening parent/guardian notification is a form that informs parents or guardians about their child's vision screening results.
Schools and healthcare providers are required to file vision screening parent/guardian notification.
Vision screening parent/guardian notification can be filled out by providing the child's name, date of birth, screening results, and any recommendations for follow-up.
The purpose of vision screening parent/guardian notification is to keep parents informed about their child's vision health and any necessary follow-up steps.
Information reported on vision screening parent/guardian notification includes the child's name, date of birth, screening results, and any recommendations for follow-up.
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