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It includes sections for personal. Illinois law requires that proof of an eye examination by an optometrist or physician (such as an ophthalmologist) who provides eye. This is a pdf document that can be used to record the results of a vision screening test for children in illinois. The form includes sections for case.
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The form includes personal information, exam. Illinois law requires that proof of an eye examination by an optometrist or physician (such as an ophthalmologist) who provides eye. Download and print the official form for eye examinations of children enrolled in illinois schools.