Early Childhood Screening Forms

Screening Form (Non-School Provider) (pdf, 35 KB)

If your child is screened by a non-school provider, such as a health care provider, please complete this form and mail to the address provided. 

Waiver/Exemption Form (pdf, 86 KB)

If you choose to waive the requirement of Early Childhood Screening for your child as a conscientious objector, complete this form and mail to the address provided. 

Vision Chart Practice (pdf, 351 KB)

This chart can help your child practice before his/her vision screening.