Report an InfantSEE Assessment
InfantSEE providers are strongly encouraged to submit a Clinical Reporting Form for each InfantSEE assessment that is performed. Reported data not only provides information on how many babies' lives are impacted by the program, but also provides crucial reporting that helps fuel our mission. When you submit a report you ensure that eye and vision care continue to be readily accessible to infants across the country.
CarePrint Clinical Reporting form and complete it during InfantSEE assessment. |
ClickInfantSEE provider or staff visit InfantSEE.org and input Clinical Report Form. |
CountYou 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
Why Submitting Clinical Reporting Forms Matters: |
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Magnifies the importance of early eye and vision care | |
Supports AOA advocacy efforts for children's vision initiatives |
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Provides metrics needed to secure monetary support |
Clinical Reporting Forms can be submitted in one of three ways:
- Electronically
- Fax: 314.991.4101
- By Mail: Attn: InfantSEE, 243 N. Lindbergh Blvd., St. Louis, MO 63143