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Montana Lions Sight & Hearing Foundation www.mtlionsshfnd.org Lion Jessica Falcon, Administrator Phone: 406.253.1737 PO Box 1925; Columbia Falls, MT 59912 lion.jfalcon@gmail.com ___PID Fellowships
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How to fill out request a vision screening

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How to fill out request a vision screening

01
Schedule an appointment with an eye care professional or vision screening clinic.
02
Bring any relevant medical history or insurance information.
03
Fill out the necessary forms provided by the eye care professional or vision screening clinic.
04
Follow any instructions given by the professional during the screening.
05
Ask any questions or concerns you may have about your vision during the screening.

Who needs request a vision screening?

01
Individuals who are experiencing vision problems such as blurred vision, double vision, or difficulty seeing objects clearly.
02
Children who may be struggling in school due to vision issues.
03
Individuals with a family history of eye diseases or conditions that may affect vision.
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A request for a vision screening is a formal process to obtain an assessment of an individual's eyesight, typically required for health evaluations or educational purposes.
Individuals, such as students or employees, who need to comply with health regulations or institutional requirements are typically required to file a request for a vision screening.
To fill out a request for a vision screening, individuals must complete the designated form, providing personal information, contact details, and any required health history or symptoms.
The purpose of a request for a vision screening is to ensure that individuals receive necessary eye health evaluations to detect vision problems early and to meet institutional or legal health standards.
The information that must be reported includes the individual's name, date of birth, contact information, reason for the screening, and any relevant medical history or symptoms.
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