Eye Exam Report
report form has been created for use by doctors following an IEP Eye
Exam. A copy of the form is available below in Miscrosoft Word format.
the Eye Exam Report for IEP
the exam the eye care provider should complete the Eye
Exam Report for IEP and either mail or fax the report to the
child’s school. The form should be sent to the principal’s
attention. The form will then be included in the child’s IEP folder
as a reference for school administrators and parents. A copy of the eye
exam form should also be faxed to 614-781-6521. Outcome data from the
forms will be reviewed by a work group from the Optometric Association
and Ophthalmological Society to determine the future needs and directions
of the program.