Vision Screening Forms
Letters
Letter A: School Vision Screening Information Letter
Letter B: School Vision Screening Referral Letter
Letter C: Color Vision Letter
Letter D: Follow-Up Referral Letter
Letter E: Screening/Monitoring Waiver Letter
Forms
Form A: Vision Screening Program Evaluation Form
Form B: Vision Screening Program Observations Checklist
Form C: Vision Screening Program LEA VIP Single Crowded LEA at 5ft for 3 Year Old Children
Form D: Vision Screening Program LEA VIP Single Crowded LEA at 5ft for 4-5 Year Old Children
Form E: Vision Screening Program HOTV Matching Letters
Form F: Preschool Vision Screening Record
Form G: Preschool Vision Screening Follow Up Record
Form H: School-Age Vision Screening Record
Form I: School-Age Vision Screening Follow Up Record