If your student is participating in Von's Vision Day, please print off the following documents, filling out a separate form for each student. For your student to participate, they must have these forms completed and signed by a parent, guardian or supervisory adult for the student's organization. Blank copies of the documents below will always be provided at check-in to be filled out and signed on site.|
Patient History Form
Parental Consent Form (English)
Parental Consent Form (Spanish)
Please email Michael Lusk at firstname.lastname@example.org with any questions.