|
|
Register Your Child
In order to register your amblyopic child and receive free material as list below, your child must have been diagnosed with amblyopia by an eye doctor. Please talk with your child's eye doctor before registering and, ideally, obtain a registration form from your eye doctor. Registration is open to any amblyopic child up to 18 years of age who lives in the State of Ohio. What you will receive for free once you register your amblyopic child: 1. Brochures
All literature has been reviewed and approved by the Ohio Amblyope Registry Board. The board includes two ophthalmologists, two optometrists, CEO of the Ohio Optometric Association, Executive Director of the Ohio Ophthalmological Society, a representative from the Ohio Department of Health and the Ohio Amblyope Registry Board Executive Director. 2. If your child is being patched for amblyopia, s/he will receive 6 free boxes of eye patches, a $30.00 value! 3. If your child is being patched for amblyopia, s/he will also receive two (2) free cloth patches that cover one side of glasses. 3. If your child is being patched for amblyopia and if s/he is between the ages of 4 and 9 years, you will receive the Eye Patch Club packet! The Eye Patch Club packet includes the following:
The Eye Patch Club packets are restricted to children between the age of 4 and 9 years who are currently undergoing patching therapy. Want to learn more about the Eye Patch Club packet from Prevent Blindness America (PBA)? Click-on the link below and you will be taken to the PBA web site that describes the Eye Patch Club packet information. Don't forget to come back and be sure to include this site in your Favorites! http://www.preventblindness.org/children/EyePatchClub.html All free materials are paid for by the Save Our Sight Fund for Children, which receives voluntary donations via the check-off box on Ohio license plate renewal forms. Support the Save Our Sight Fund for Children the next time you renew your license plate.
Amblyopic Child Registration Form The following information will remain strictly confidential. You and your child's name and address (and any other personal information) will only be used to send information to you. We will not release your personal information to anyone for any reason. All information is removed from the internet and placed on a secured computer that does not have internet capability. Any reports we produce will be summary data only with no names, addresses or personal information used, as mandated by the Ohio Department of Health. |