TEACHER & CASE MANAGER RESOURCES

 VISION CONCERNS

• A vision symptoms questionnaire is required by the state to be submitted in the case of failed benchmarks, guardian or teacher concern, an initial SPED referral and a SPED re-evaluation.  
• These forms must by filled out by guardians or teacher ONLY. 
• Please send them to health.services@wasatch.edu for a nurse review. 

VISION SYMPTOMS QUESTIONNAIRE 

 VISION SYMPTOMS QUESTIONNAIRE-SPANSIH