Head Start Vision Screening Toolkit
Planning Your Screening
Documents for planning and conducting Head Start vision screenings.
Chart Screening vs. Instrument Screening
Results Form - English
Results Form - Spanish
Results Form - Hmong
Annual Statistical Request Form - Word
Annual Statistical Request Form - PDF
Annual Statistical Request Form - Excel
Sample Vision Screening Announcement - English
Sample Vision Screening Announcement - Spanish
Sample Vision Screening Announcement - Hmong
Supply Order Form - Email
Supply Order Form - Mail
Follow Up Resources
Documents and resources for conducting follow up after completing a children's vision screening.
Follow Up - English
Follow Up - Spanish
Text Message - English
Text Message - Spanish
Text Message - Hmong
How to Make an Eye Doctor's Appointment - English
How to Make an Eye Doctor's Appointment - Spanish
How to Make an Eye Doctor's Appointment - Hmong
Parent Education - English
Parent Education - Spanish
Parent Education - Hmong
Children's Voucher Criteria - English
Children's Voucher Criteria - Spanish
Children's Voucher Criteria - Hmong
Children's Voucher Application - English
Children's Voucher Application - Spanish
Children's Voucher Application - Hmong
Contact Us
If you have any questions, please contact Shelby LaTona at [email protected] or by phone at (414) 765-0505.