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Get County Kdeshs004 Add 2015-2024

8/2000 Kentucky Eye Examination Form for School Entry KRS 156. 160. 8 g requires proof of a vision examination by an optometrist or ophthalmologist. This evidence shall be submitted to the school no later than January 1 of the first year that a child is enrolled in public school public preschool or Head Start program. PLEASE COMPLETE THE IDENTIFYING INFORMATION AND RECORDS IDENTIFYING INFORMATION Student Name Date of Birth Parent or Guardian Name.

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