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How to use or fill out Kentucky Eye Examination Form for School Entry
- Click ‘Get Form’ to open it in the editor.
- Begin by filling out the Identifying Information section. Enter the Student Name, Date of Birth, and Parent or Guardian Name accurately.
- In the Case History section, provide the Date of Exam and detail any Ocular History. Indicate if there are any medical issues or drug allergies present.
- Complete the Refraction section by indicating whether a cycloplegic was used and filling in Unaided Acuity and Best Corrected Acuity fields.
- For the Diagnosis section, check all applicable conditions such as Myopia or Hyperopia, and provide recommendations based on the examination results.
- Finally, ensure that the form is signed and dated by an Optometrist or Ophthalmologist before submission.
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