Low Vision Collaborative Clinic Forms

Please complete the following KanLovKids LVCC Forms.

Please submit additional documents using the option below and they will be sent to Molly Reardon, Coordinator of KanLovKids Clinic.
Drop files here or
Max. file size: 300 MB.

    Fill this out only if KSSB Field Services Specialists requests it for the doctor Impact of Vision Impairment for Children (IVI-C for 12 to 18 years of age). This form should be completed online, as it will be automatically scored.

    ALL DOCUMENTS ARE  DUE TWO WEEKS BEFORE CLINIC DATE  (be sure to indicate if ASL or Spanish interpreter is needed).

    BRING SAMPLES OF STUDENT’S WORKSHEETS, TEXTBOOKS, ETC.

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