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How do I fill this out?
To fill out the Eye Examination Report, begin by entering the child's personal information at the top. Next, have the examining doctor fill in their details and the exam results. Finally, ensure the parent's consent section is completed before submission.

How to fill out the Illinois Eye Examination Report Submission?
1
Enter student's name and birth date.
2
Complete details of the examining doctor.
3
Record the eye examination results.
4
Obtain parent or guardian's signature.
5
Submit the form to the appropriate school authority.
Who needs the Illinois Eye Examination Report Submission?
1
Parents of school-age children need this form to enroll their kids.
2
Optometrists must fill this form for each eye examination they conduct.
3
School administrators require this form to validate student health records.
4
Healthcare providers need this document for referral purposes.
5
Occupational therapists might need insights from this report for assessments.
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How do I edit the Illinois Eye Examination Report Submission online?
You can easily edit the Eye Examination Report using PrintFriendly's intuitive PDF editor. Simply upload the document, click on any section to modify it, and save your changes. This functionality allows for quick updates to important student information.
1
Upload the Eye Examination Report to PrintFriendly.
2
Select the section you wish to edit and make changes.
3
Add or modify information as required.
4
Review the document for accuracy.
5
Download the finished document for submission.

What are the instructions for submitting this form?
To submit the Eye Examination Report, ensure it is filled completely and accurately. You can send it via email to the school's health office or fax it to the designated number. For physical submissions, hand deliver the completed form to the school office prior to the deadline.
What are the important dates for this form in 2024 and 2025?
For the years 2024 and 2025, ensure the Eye Examination Report is filled out and submitted by October 15. If a child is enrolling for the first time, the examination must be done within one year prior to the submission date.

What is the purpose of this form?
The Eye Examination Report serves to document the eye health of students entering the Illinois school system. Its purpose is to ensure that children have received a professional eye examination before beginning their school journey. This report helps in identifying potential vision problems early, thus supporting a child's educational experience.

Tell me about this form and its components and fields line-by-line.

- 1. Student Information: Includes the student's name, birth date, and gender.
- 2. Parent or Guardian Details: Provides contact information for responsible adults.
- 3. Examination Date: The date when the eye examination was conducted.
- 4. Vision Assessment Results: Records the visual acuity and overall eye health.
- 5. Doctor's Recommendation: Any suggested actions or follow-ups by the optometrist.
What happens if I fail to submit this form?
Failure to submit the Eye Examination Report can result in delays in school enrollment. This may affect a child's ability to attend classes on schedule. Schools may require an alternative plan for enrollment if the form is not submitted.
- Delayed Enrollment: Missing the deadline can postpone a child's start in school.
- Health Compliance Issues: Schools may not allow students to enroll without proper health documentation.
- Ineligibility for Screenings: Students without the report may miss out on important vision screenings.
How do I know when to use this form?

- 1. First-Time Enrollment: Required for new students entering the Illinois school system.
- 2. Health Update Requirement: Necessary when transferring from another school.
- 3. Vision Evaluation: To document annual eye health evaluations.
Frequently Asked Questions
What is the Eye Examination Report?
The Eye Examination Report is a form required by Illinois schools to document a child's eye health.
Who needs to fill out this report?
Parents, optometrists, and school officials need to complete this report.
How do I edit the PDF?
Use PrintFriendly’s editor to click on any text field and make necessary changes.
Can I sign the PDF electronically?
Yes, PrintFriendly allows you to add a digital signature directly within the editor.
How can I share the completed report?
After editing, you can use the share function to send your completed report via email.
Is there a deadline for submission?
Yes, the report must be submitted by October 15 of the enrollment year.
What happens if I miss the deadline?
Late submissions can affect your child's enrollment status.
Can I download a copy of the report?
Absolutely, once edited, you can download the report for your records.
Is there a way to track changes made to the document?
PrintFriendly does not currently support change tracking.
What should I do if I cannot complete the form?
Reach out to your optometrist for assistance in filling out the form.
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