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Click ‘Get Form’ to open the functional vision and hearing form in the editor.
Begin by entering the child's name and date of birth in the designated fields at the top of the form. This information is crucial for identifying the child being screened.
In the VISION section, review each question carefully. Check all applicable boxes that describe the child's visual abilities, such as eye contact and object tracking. This helps assess whether further evaluation is needed.
Next, move to the HEARING section. Again, check all relevant boxes based on your observations regarding the child's hearing capabilities, including speech clarity and responsiveness to their name.
Finally, ensure that you sign and date the form at the bottom. Include your title to validate your assessment.

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How much does a functional vision assessment cost?

A functional vision assessment is typically conducted by a teacher certified in the area of visual impairment. The specialist is a certified teacher of the visually impaired, trained to evaluate how a child utilizes vision.

What is included in a functional vision assessment?

Functional Visual Acuity: Assesses visual acuity (visual clarity, sharpness of vision) for near (reading, writing, drawing, etc), mid-range (alternative communication device, computer, etc.), and distance vision. Color Vision: Assesses for color vision deficiency, which can make early learning more challenging.

What is a vision and hearing screening?

0:07 3:03 However costs can vary based on several factors. These include the provider geographic location andMoreHowever costs can vary based on several factors. These include the provider geographic location and the complexity of the assessment. Required. If the initial testing reveals more complex.