Reference Page

Use the Reference Page with the Preschool and Student Comprehensive Eye and Vision Examination Report. 

  • Standard Reference Page  Use the standard form if you're seeking a single copy or multiple copies without a need for approval before distribution.
  • Custom Reference Page  Use the custom form if you're a school, eye clinic, or organization distributing multiple copies approved for distribution.


Check your printer's setting

For full size copies, make sure your printer's print setting for "scale to paper size" is set for "no scaling." 


"For Illinois" versions here

If you live in Illinois, use the Vision First report forms and prewritten letters made for Illinois. These documents reference Illinois law. View "For Illinois" here...



“Each today, well-lived, makes yesterday a dream of happiness and each tomorrow a vision of hope. Look, therefore, to this one day, for it and it alone is life."
                     —Sanskrit Poem

Successful treatment for the child depends on parent compliance and cooperation from the school.

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