FREE EYE EXAM AND GLASSES SCHOOL PROGRAM 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your child's full name, date of birth, and gender in the designated fields. Ensure accuracy for proper identification.
3. Fill in your contact information, including home phone and parent’s day phone. This is crucial for scheduling appointments.
4. 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.
5. Complete the sections regarding any eye problems, medications, allergies, and special needs. Providing detailed information ensures appropriate care.
6. Sign at the bottom of the form to authorize participation in the program. Make sure to include the date of signing.
7. Submit the completed form to your child’s school nurse or counselor for processing.

Start filling out your FREE EYE EXAM AND GLASSES SCHOOL PROGRAM form today using our platform for a seamless experience!