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How to use or fill out FREE EYE EXAM AND GLASSES SCHOOL PROGRAM
- Click ‘Get Form’ to open it in the editor.
- Begin by entering your child's full name, date of birth, and gender in the designated fields. Ensure accuracy for proper identification.
- Fill in your contact information, including home phone and parent’s day phone. This is crucial for scheduling appointments.
- Indicate whether your child wears glasses and if they have seen an eye doctor in the past year. This helps assess their current vision needs.
- Complete the sections regarding any eye problems, medications, allergies, and special needs. Providing detailed information ensures appropriate care.
- Sign at the bottom of the form to authorize participation in the program. Make sure to include the date of signing.
- Submit the completed form to your child’s school nurse or counselor for processing.
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