NOTIFICATION OF VISION SCREENING

Dear Parent(s) or Guardian:
Your child will be given a vision screening on September 17, 2021. Before screening is conducted, state law requires parents to be informed that vision screening is not a substitute for an eye examination by an eye care specialist.

You will receive a referral letter if your child fails the screening. However, even if your child passed, it is important that your child see an eye care specialist once a year. School vision screening does not evaluate eye health and cannot uncover important vision problems or prescribe treatment. Because academic learning is 80% visual, and visual problems are best detected and treated early, a comprehensive eye and vision examination are recommended. Healthy eyes and good vision are essential for success in school.

Please provide the school with written notification if you do not want your child to participate in the screening program. You can find the form with this letter.

If you have questions, please contact Julie Adamic. julie@johnhancockcs.org

Sincerely,
Julie Adamic
Principal

VISION SCREENING EXEMPTION FORM- Send this via email or print and send in with your child prior to Sept. 16th.

As the parent/guardian of the child listed below, I do not wish for my child to have a vision screening during this school year until further notice. I understand that I may change my mind at any time and will do so in writing. This form may be re-submitted each school year.

Child’s name: _________________________________________________________________________

DOB: ________________________________ Grade__________________________________

Signature:_______________________________________________________________

Printed name:__________________________________________________________________