Eye Care Templates
Documents:
45
This document is a visual tool used to assess and measure visual acuity for individuals. The Jaeger Eye Chart consists of various sizes of text printed on a chart, which the person being tested is asked to read.
PDF 
Word
This document is used for conducting a basic assessment of visual acuity and vision impairments in individuals with low vision in the state of Minnesota.
This form is used for eye examinations in the state of Maine.
This document is intended for patients to disclose their vision-related health history and issues enabling their eye-care provider to provide personalized and effective treatment plans. Includes questions on eye health, general health and lifestyle factors.
