Iowa requires parents to have children screened for vision impairment at least once before enrolling in kindergarten and again before third grade in a public or accredited nonpublic elementary school. Form 470-0021 is the proof the school receives. The screening must fall between one year before and six months after enrollment in those grades.
The screening provider completes the screening section with date, pass or fail, method, acuity if available and referral, then signs with credentials; parents may attach a copy of results instead. An eye care professional completes the page 2 Eye Exam Section after a comprehensive exam.
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Certificate of Vision Screening
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It must be done no earlier than one year before the date of enrollment in kindergarten or third grade and no later than six months after the child's enrollment in that grade. Screenings outside that window do not meet the requirement.
Yes. The form says the requirement can be met by a screening or by a comprehensive eye exam. The eye care professional completes the Eye Exam Section on page 2, including acuity, eye health, vision analysis and correction recommendations, and signs and dates it.