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22-23 Vision Screening

22-23 Vision Screening Form

E-School Virtual Charter Academy is required to notify parents or guardians of students who enroll in kindergarten, first, or third grade vision screening requirements as required by state law. The parent or guardian of each student enrolled in kindergarten in a public school in Oklahoma shall provide certification to school personnel that the student passed a vision screening within the previous twelve (12) months or during the school year. Such screening shall be conducted by personnel listed on the statewide registry as maintained by the State Department of Health. The parent or guardian of each student enrolled in first or third grade at a public school in Oklahoma shall provide within thirty (30) days of the beginning of the school year certification to school personnel that the student passed a vision screening within the previous twelve (12) months. Such screening shall be conducted by personnel listed on the statewide registry as maintained by the State Department of Health. The parent or guardian of each student who receives a vision screening shall receive notification that a vision screening is not the equivalent of a comprehensive eye exam. The parent or guardian of each student who fails a vision screening shall receive a recommendation to undergo a comprehensive eye examination performed by an ophthalmologist or optometrist The ophthalmologist or optometrist shall forward a written report of the results of the comprehensive eye examination to the student’s school, parent, or guardian, and primary health care provider designated by the parent or guardian. The report shall include, but not be limited to: ● Date of report, ● Name, address and date of birth of the student, ● Name of the student’s school, ● Type of examination, ● A summary of significant findings, including diagnoses, medication used, duration of action of medication, treatment, prognosis, whether or not a return visit is recommended and, if so when, ● Recommended educational adjustments for the child, if any, which may include: preferential seating in the classroom, eyeglasses for full-time use in school, eyeglasses for part-time use in school, sight-saving eyeglasses, and any other recommendations, and ● Name, address, and signature of the examiner. No student shall be prohibited from attending school for a parent’s or guardian’s failure to furnish a report of the student’s vision screening or an examiner’s failure to furnish the results of a student’s comprehensive eye examination.

Name of Parent/Legal Guardian(Required)
Name of Student(Required)
Has your child received a vision screening or comprehensive eye examination within the previous twelve (12) months?(Required)
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