HCHD Vision & Hearing Screening 2026

HOWARD COUNTY HEALTH DEPARTMENT

Free vision & hearing screening registration
The Howard County Health Department, in partnership with the Indiana Lions Club, is offering free vision and hearing screenings for students enrolled in Indiana private/parochial schools, online schools, or homeschool programs.

These clinics are intended to help families connect with school screening requirements for applicable grade levels while making screenings more accessible to students who do not attend traditional in-person schools.

To view Indiana Department of Education's Vision & Hearing Screening guidance and recommendations, click here.
Clinic Information

Location	Howard County Health Department, 120 E. Mulberry Street, Kokomo, IN 46901 - Second floor
Thursday, December 3	11:00 a.m.-3:00 p.m.
Tuesday, December 10	9:00 a.m.-1:00 p.m.

Who can register? This optional screening opportunity is for parents or guardians of students enrolled in a private/parochial school, an online school, or a homeschool program in Indiana.

About the screenings: Both screenings are free. Vision screenings will be conducted by the Indiana Lions Club; hearing screenings will be provided through the Howard County Health Department. These screenings are nondiagnostic and are intended to identify potential vision or hearing concerns that could affect a student's health, learning, or school performance. They do not replace a comprehensive examination or establish a diagnosis. If a concern is identified, further evaluation by an appropriate healthcare professional may be recommended.

Please complete one form per student.
Section 1: Parent/Guardian Information
Parent/Guardian Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Preferred contact method - please select all that apply
Section 2: Student Information
Student's Full Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Current Grade Level
County of Residence
School or Educational Program Name
Educational setting (select one)

Other
Section 3: Screening Registration

Please select your preferred clinic date and arrival time from the choices below.
What date and time would you like to schedule your appointment? Please select all that apply, and we will reach out with a confirmation appointment date and time.
Which screenings would you like your child to receive?
Accessibility needs or other considerations that would help us prepare for your visit:
Section 4: Parent/Guardian Acknowledgment and Consent

Please review and acknowledge the following statements before submitting your registration.
Parent/Guardian Acknowledgment and Consent
Parent/Guardian Electronic or Written Signature
Date of submission

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Thank you! The Howard County Health Department appreciates the opportunity to partner with Indiana families to support student health and learning. Please contact the Health Department with questions about registration or the screening clinics at 765-614-3100 or bethany.wenger@howardcountyin.gov.
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HOWARD COUNTY HEALTH DEPARTMENT

Clinic Information

Section 1: Parent/Guardian Information

Section 2: Student Information

Section 3: Screening Registration

Section 4: Parent/Guardian Acknowledgment and Consent