Screening & Referral Document Library

Parent handouts, project guides, and referral resources in one place.

Resources for our registered community

Create an account and log in to view document descriptions, preview images, and downloads. Membership connects families, educators, screeners, and vision-care professionals.

A family, educator, and healthcare professional sharing information about a child’s vision.

KEEP COLLEAGUES CONNECTED

Share a document with a colleague

Pass along a useful handout or form by sharing its QR code or download link. No special app is needed to send it.

Free desktop readers
ShareX for Windows scans QR codes from screen captures. QR Capture for Mac reads saved QR images or uses a camera.

1. Copy or save

Computer: Right-click the QR image (Control-click on Mac), then choose Copy Image or Save Image As.

Phone or tablet: Touch and hold the image and use the available Share, Copy, or Save option.

2. Send to a colleague

Paste or attach the QR image to an email or picture message.

For a regular SMS, copy the Download PDF or Download DOCX button’s link and paste it into your message. Pictures use MMS, RCS, or iMessage.

3. Open the resource

Scan the code with a phone camera when it is printed or displayed on another screen.

On a computer, use a free reader linked above to read the QR image. If you receive a download link, simply click it.

A quick reminder: Some member resources require the recipient to log in. Share blank forms and educational resources only; use your organization’s approved secure method for completed forms containing patient information.

Patient screening & referral forms

Download the forms below. Return completed patient forms using the secure method provided by project staff.

Patient Screening Registration form preview

Patient Screening Registration

Complete patient and parent or guardian details to request a screening.

Scan to open Patient Screening Registration
Screening Consent form preview

Screening Consent

Review and complete the screening consent and authorization form.

Scan to open Screening Consent
Patient Referral form preview

Patient Referral

Provide patient details and referral information for the care team.

Scan to open Patient Referral
HIPAA Authorization form preview

HIPAA Authorization

Complete the authorization for use or disclosure of health information.

Scan to open HIPAA Authorization
HIPAA Authorization form preview
HIPAA Authorization form preview