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EVENT CALENDAR
Optometry Day at the Statehouse • April 6, 2022
OOF Annual Golf Outing • August 3, 2022
EastWest Eye Conference • October 12-15, 2022
EastWest Destinations • February 16-18, 2023
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Realeyes Program Overview
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iSee Event Request
Thank you for your interest in hosting the Ohio Optometric Foundation’s (OOF) In School Eye Exam (iSee) program. Completion of this form is necessary for the OOF to determine need and capacity to deliver the iSee program to your school.
School Information
School Name:
City:
County:
School District:
Primary Contact
First Name:
Last Name:
Position:
Phone:
Email:
School Information
School Enrollment #s:
% of students on IEP:
% of students disadvantaged:
Most recent school vision screening:
?
# of students screened:
# of students referred for eye exam:
# of students not receiving follow-up care:
Scheduling Timing
School start time:
School end time:
First choice dates:
Second choice dates:
Third choice dates:
- denotes required fields
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