Forms & Clinic Information

To schedule a Low Vision Collaboration Clinic (LVCC) or Low Vision Collaboration Clinic + (LVCC+):

1. Share KanLovKids Information Letter with districts and families.
2. Click on button above to select needed clinic.
3. Complete the TSVI/COMS Clinic Request Form which will serve as the clinic request.
4. Send the links or forms to parents so they can complete their part.
5. Submit an eye doctor report within the last 3 years (required). Also submit an FVLMA, O&M report, AT report, additional medical records, etc.
6. Teacher will be contacted to schedule a clinic once all required paperwork has been received.

What Happens Next?

• The KLK Coordinators will contact the teacher who requested the clinic once an appointment is available. The teacher should contact the family to confirm the appointment and transportation plans.
• The KLK Coordinator will upload the completed documents to KSSB’s KLK database so that the doctor will have online access to prepare for the evaluation.
• After the evaluation, a report will be generated by the doctor and distributed to the TSVI/ECI to deliver to the family and school.
• KSSB will send an invoice to your district after completion of the LVCC or LVCC+ for the children/students assessed.  The invoice will be sent to the designated person indicated by you on the Contact Information Form. Services for birth through three will not be billed (please do not fill out billing contact info).

If you have additional questions, please contact Anna Cyr, 913-645-5324 or Rachel Ghram, 913-558-6161 KanLovKids Coordinators.

is for students who are able to communicate and interpret eye charts (numbers, letters, or pictures) and communicate what they are seeing. The primary goal is to learn what tools could be utilized at home, in school, and the community to aid the student with visually accessing his/her world. Educational teams also have the opportunity to speak with the doctor and learn more about their condition and how it may affect the student on a day-to-day basis.

is for infants, toddlers, or school-aged children who have alternative communication and complex needs. At these clinics the primary goal is for educational teams to learn how the student sees and what accommodations and supports could be implemented to aid in access to the curriculum.