Oregon School Requirements for Children's Vision
Requires school district shall maintain a prevention oriented health services program for all students which provides vision screening. Oregon Regulation §581-022-0705
Depending upon resources, screening should occur in preschool (ages 3-5); kindergarten; and grades 1, 2, or 3; 4 or 5; 7 or 8; and 10 or 11, upon first entry into school, of driver education students, upon entrance into special education, and upon parent or teacher referral. School-age children who already receive regular vision management need not participate in a vision screening program.
Vision screening programs should be conducted under the direction of the school nurse. The supervising professional has the responsibility for training and monitoring screening activities. School staff and parent volunteers can be trained to provide screening.
Distance central visual acuity testing using the Snellen chart is the preferable measurement. (The Lazy E chart is recommended for grades 2 and younger and the alphabet chart for grades 3 and older unless the student has a language or developmental barrier.) Color vision screening is ideally done in kindergarten and prior to high school to provide information regarding related learning and vocational issues.
It is advisable to inform parents or guardians of vision screenings. Students shall not be screened against their will. Students having results deviant from the norm in the first screening must be referred to the school nurse for a re-screen in the same session or at a later time within one month. When the student fails after re-instruction and re-screening, s/he must be referred to an appropriate health care provider for evaluation. For students identified as visually disabled, the school nurse should work with the classroom teacher(s) to implement necessary adjustments (such as seating location) to maximize learning.
Results of all screenings and testing should be shared with parents or guardians. It is the responsibility of the parent or guardian to secure and fund the visual evaluation. Documentation should reflect screening results and parent or student declines. Documentation should be filed according to guidelines in the section “Health Information and School Records”. Oregon General Health Appraisal: Vision Screening