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Functional Vision Screening Form - Tuscaloosa County Schools 2026
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- Click ‘Get Form’ to open the Functional Vision Screening Form in the editor.
- Begin by entering the student’s name, school, and grade in the designated fields at the top of the form.
- Next, fill in the parent(s)’ name and address to ensure proper contact information is recorded.
- Proceed to answer the yes/no questions by selecting the appropriate option for each observation listed. Make sure to review each item carefully.
- In the observations section, document responses regarding pupillary reaction, blinking, orientation, and fixation. Use clear markings for right or left as needed.
- Complete any additional notes under 'Action Taken' and sign off with your name and date in the final fields provided.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2012 | 4.8 Satisfied (34 Votes) |
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