Vision screening results form 2025

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  1. Click ‘Get Form’ to open the vision screening results form in the editor.
  2. Begin by entering the student's name, date, room number, teacher's name, and school in the designated fields. This information is crucial for identifying the student.
  3. Indicate the student's gender and age, along with their grade and doctor's name. These details help provide context for the screening results.
  4. Specify whether the student wears glasses or contacts by selecting 'YES' or 'NO'. This can impact their vision assessment.
  5. Choose whether the screening was conducted with or without corrective lenses by circling the appropriate option.
  6. Fill in the distance vision results for both right and left eyes using the provided scale. Ensure accuracy as this is vital for further evaluation.
  7. Complete sections on binocular vision and refractive error by entering measurements as indicated. Pay attention to detail to ensure correct data entry.
  8. Finally, document color vision results and any comments regarding pass/fail status or recommendations for follow-up exams.

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taking a PD is not part of the eye exam process. This measurement is done as part of the eyewear selection/ fitting process by an optician or technician. Phone the place where you got your glasses. Most places will give you that number.
For example, 20/20 (6/6) is considered normal. 20/40 (6/12) indicates that the line you correctly read at 20 feet (6 meters) away can be read by a person with normal vision from 40 feet (12 meters) away.
Your eye test results At the end of your eye exam, your optometrist will give you a copy of the prescription and can answer any further questions you may have.
Your eye doctor will have you read the rows of letters from the top downwithout glasses or contactsto determine the smallest row you can see clearly. That smallest row you can identify accurately determines your visual acuity score.
How do I get a copy of my eye prescription? You will be provided with a copy of your prescription following your eye test. If you need a replacement copy for any reason, just ask your optician and theyll provide one for you.

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How to obtain your prescription. If you have any questions about your prescription or would like a copy, you can contact your local store, or the store where you last had your eye test. Your local store will then be able to update your details accordingly or provide you with the information you need.

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