District Vision Screening Program

Here you’ll find documents related to our LCIF Grant District Vision Screening Program where our District Volunteers can review documentation, print out their own forms and familiarize themselves with the equipment from an electronic source – our District Web Site.

Documents and Forms

Welcome to the Lions of District 4C4 Vision Screening Program — includes various documents, consent, refer and the reporting document that every club MUST complete and send to District Chair

Guide to Vision Screener Use, Care and Operation

Common Forms for Vision Screening Program — Clubs can copy and use when they conduct Vision Screening Programs

Spot Vision Screener Instruction Guide — Operation Use and Care of the Welch Allyn “Spot” Vision Screener

Plusoptix S12 Quick Reference Guide

Plusoptix User Manual Pgs 1-30  – Includes Contents Pages, Table of Figures, Table of Screenshots Page and Manual Pages 1-30

Plusoptix User Manual Pgs 31-74 – Includes Contents Pages, Table of Figures, Table of Screenshots Page and Manual Pages 31-74

Videos

Demonstration Videos  of each screener are available on the 2nd & 3rd slides of the slider above.

District Chair

PDG Jack Van Etten
LCIF Vision Screening Grant Administrator