Report an InfantSEE Assessment

Infantsee Assessment with your optometrist
 

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Print Clinical Reporting form and complete it during InfantSEE assessment.

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InfantSEE provider or staff visit InfantSEE.org and input Clinical Report Form.

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You support AOA advocacy efforts for children's vision intitiatives through reported assessments

InfantSEE also provides the Clinical Reporting Form (Long) and Patient History Form for your convenience. Please do not return these forms to InfantSEE -- these are for office use only.
Infant History Form Download || Clinical Reporting Long Form Download

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Why Submitting Clinical Reporting Forms Matters:

Magnifies InfantSEE Eye Exams Magnifies the importance of early eye and vision care
Magnifies InfantSEE Eye Exams Supports AOA advocacy efforts for children's vision initiatives
Provides InfantSEE Metrics Provides metrics needed to secure monetary support

InfantSEE Partners