School District Enrollment for OhioSEE Survey.

The OhioSEE (Ohio Student Eye Exam) team will review your survey and reach out to you by email to connect you with your OhioSEE provider. Please keep in mind that OhioSEE expects to begin services in the spring of 2026. In the meantime, please continue your annual school vision screenings to ensure readiness.

1.Select your county.(Required.)

2.District Information or Individual Non-Public School.(Required.)

District Name.

Mailing Address.

City.

Zip.

District or School IRN.

Your Name.

Your Role/Title.

Your Email.

Phone Number.

3.What type of schools are you enrolling today? (Select all that apply)(Required.)

Public school district.

Community school.

Non-public chartered school.

4.How many schools in your district serving grades kindergarten through third grade plan to participate in the OhioSEE Program?

Once your district is enrolled, you will receive a survey to share with your participating schools. This school-level survey will collect important details such as the primary school contact person, student information, and screening data.(Required.)

5.Please provide a list of elementary schools in your district that will participate in OhioSEE.

For each school, include the school name and the contact details (name and email) of the School Nurse or OhioSEE coordinator.(Required.)

6.What is your estimated kindergarten through third-grade population?(Required.)

7.What is the estimated number of kindergarten through third-grade students who will need an eye exam?(Required.)

8.What provider model will work best for the schools in your district?(Required.)

Mobile Vision Van: A fully equipped van travels to schools on a set schedule, providing convenient onsite vision exams. The van returns to dispense eyeglasses directly to students. This model minimizes disruption for students, allowing them to receive eye care without the need for transportation.

Roll-On, Roll-Off Model: A team sets up an exam space within the school spaces like classrooms or libraries, offering comprehensive eye exams and glasses dispensing directly to students. Similar to the mobile van, student exams and glasses happen on-site, making it easier for students to access essential eye care services without needing transportation.

I will need both models.

No preference.

9.Select the vision provider you have previously worked with and wish to continue collaborating with.(Required.)

Health Partners of Western Ohio.

Vision to Learn.

iSee.

None/Unknown.

Thank you for your interest in the OhioSEE Program. Your provider will contact you directly to finalize all necessary details and develop an agreement before eye care services can begin. We look forward to working with you.