Vision report form 2026

1. Click ‘Get Form’ to open the vision report form in the editor.
2. Begin by entering the patient's name and date of birth at the top of the form. This information is crucial for accurate record-keeping.
3. Fill in the school and primary care provider details, along with the date of examination. These fields help contextualize the referral.
4. In the 'Findings' section, document visual acuity for both eyes (OD for right eye, OS for left eye). Indicate if each is normal or abnormal and provide descriptions as necessary.
5. Complete additional assessments such as color vision, ocular motility, and other tests listed. Be thorough to ensure a comprehensive evaluation.
6. For diagnosis, check all applicable conditions like myopia or hyperopia. If there are other diagnoses, describe them in the provided space.
7. Indicate whether glasses were prescribed and detail any treatment plans or medications used in their respective sections.
8. Finally, have the optometrist or ophthalmologist print their name, sign, and date the form before submitting it.

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