Washington
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Summary of the Washington State Guidelines
1. Required Screenings
In the state of Washington, vision screenings are mandated at regular intervals to detect and manage visual impairments that can affect a child's academic progress.
- Grades Screened: Kindergarten, 1st, 2nd, 3rd, 5th, and 7th
- Screening Types: Distance Vision Acuity and Near Vision Acuity
2. Screening Referral Criteria (Criteria for Passing Vision Test)
Distance Vision Criteria
- Kindergarten: Refer if worse than 20/40 in either eye
- 1st Grade: Refer if worse than 20/32 in either eye
- Grades 2 and above: Refer if worse than 20/32 in either eye
Near Vision Criteria
- Kindergarten: Refer if worse than 20/40 in either eye
- Grades 1 and above: Refer if worse than 20/32 in either eye
Rescreening Requirement
- Students who do not meet passing criteria: Must be rescreened using the same method
3. Children Who Should Bypass Screening
- Children with documented vision impairments already under treatment
- Children currently under the care of an eye care professional
4. Required Tools OR Important Changes to Tools Used/Discontinued
Required Screening Tools
- LEA Symbols®: Single optotype with crowding bars
- HOTV Letters: Single optotype format
- Sloan Letters: 10-foot calibrated chart
- Near Vision Charts: LEA Symbols®, HOTV Letters, or Sloan Letters
Optional Screening Tools
- Instrument-based vision screeners: May be used in place of optotype charts
- Rescreening with optotype chart: Required if no result is generated by the instrument-based tool
Occluders
- Recommended: Durable plastic occluders or pinhole occluders
Recommended Products
Distance Visual Acuity
Stereoacuity and Near Vision Acuity
Optional Equipment
Additional Vision Screenings
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