Page 89 - DISINVESTMENT AND IMPLEMENTATION OF VISION SCREENING TESTS BASED ON THEIR EFFECTIVENESS
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Semistructured observation of population-based eye screening in The Netherlands
With which eye is the test started:
☐ OD ☐ OS
Tried to measure up to the highest VA level:
☐ Yes ☐ No Visual acuity value:
VOD............... VOS.............. VODS................
Referral:
☐ Yes ☐ No ☐ Doubt
Reason for referral...............................................................
Permission to contact parents about referral
☐ Yes ☐ No
Date of Birth:....................................... Phone number:..................................... Address:.............................................
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