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Illinois law mandates that proof of an eye examination must be submitted to the school by October 15th of the year a child first enrolls.
The eye examination must be completed within one year prior to the child's enrollment in school.
The form requires detailed information including student name, birth date, and parent or guardian contact details.
The examining doctor must complete sections on ocular history, medical history, and any drug allergies.
The report includes sections for recording unaided and best corrected visual acuity for both eyes.
The form provides multiple diagnosis options such as myopia, hyperopia, astigmatism, and more.
A signature from the parent or guardian is required to consent to release the child's eye examination information to school authorities.