Vision Screening
- Vision Screening Home
- Vision Screening Manual Introduction, Background and Overview
- Pediatric Eye Screening or Evaluation
- Screening Preparation (Includes Re-Screening, Referral, and Follow-Up)
- Procedures (Includes pass/refer criteria)
- Frequently Asked Questions
- Instrument Based Vision Screening
- Resources and Glossary
- Forms, Tools and Materials
Related Topics
Vision Screening Forms, Tools and Materials
Forms
The following forms are available as printable PDFs
- Child and Family Vision History and Risk Assessment (PDF) Revised 01/2022
- Diseases and Conditions Associated Vision and Eye Abnormalities (PDF) 01/2022
- Teacher and Child Vision Pre-Screening Worksheet (PDF) Revised 01/2022
- Vision Screening Worksheet (PDF) Revised 01/2022
- Vision Referral Letter (PDF) Revised 01/2022
- Color Vision Advisory Letter (PDF) Revised 01/2022
Assessment Tools
Clinic Settings
- Child and Family Vision History and Risk Assessment (PDF)
- Distance Visual Acuity HOTV/LEA Symbols Vision Charts (PDF)
- Distance Visual Acuity Sloan Letters Vision Chart (PDF)
- Plus Lens (PDF)
- Visual External Inspection of Eye (PDF)
Community Settings
- Child and Family Vision History and Risk Assessment (PDF)
- Corneal Light Reflex (PDF)
- Distance Visual Acuity HOTV/Lea Symbols Vision Charts (PDF)
- Distance Visual Acuity Sloan Letters Vision Chart (PDF)
- Plus Lens (PDF)
- Unilateral Cover Test (PDF)
- Visual External Inspection of Eye (PDF)
Training Manual for Printing
Child and Teen Checkups
- Child and Teen Checkups Schedule of Age-Related Screening Standards (PDF)
- Hearing and Vision Screener Checklist (PDF) Revised 04/2022
- Vision Screening Fact Sheet (PDF) Revised 04/2021
- Hearing and Vision Screening Quick Reference Guide (PDF) Revised 04/2022