8.1.1.18
Vision – HS
Complete within 45 days of entry into each program option (EHS/FCC/HS) and as close to the yearly expiration date as possible. Enter within 3 days of completion.
Event Date: Enter date the screening was completed
Expires: ChildPlus will automatically put in a one year expiration date
Status: Enter appropriate status code
Passed: If child identifies three or more of the symbols on the 20/40 line for both eyes
Needs Re-Screening: If child cannot identify more than half the symbols on the 20/40 line with either eye
Add a scheduled Follow Up action 1 month after screening date. When rescreen is complete, enter the action date and appropriate status code. Only use the Follow Up Action Type. See Add Action.
Rescreen in 1 month.
If fails rescreen, refer to optometrist.
Description: Type Symbols
Results: Enter the line they passed each eye on R50/L40
Agency Worker: Ensure the Family Service Staff’s name is indicated.