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Submit Vision Screening Results

Prevent Blindness Wisconsin thanks you for sharing your vision screening results. These results help us to evaluate our vision screening protocols and create vision health resources for families across Wisconsin.

Please contact [email protected] or 414-765-0505 if you have any questions or concerns.

Thank you for making the vision health of children across Wisconsin a priority.

Vision Screening Results Submission

  • Grade/AgeNumber ScreenedNumber ReferredResults/Diagnoses 
  • Grade/AgeMyopiaHyperopiaAstigmatismAmblyopiaGlassesNo informationAdditional Diagnoses 
  • Total ScreenedTotal Referred