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Susquehanna Sight Services - Vision Accessibility Support & Prevention Aide 
Monthly Data Collection Form

Please fill out the following form and submit by the 5th of every month.

 

Data collection for this position is based on the following goals:

Goal 1: Expand access to vision health services through community screenings

Goal 2: Increase community awareness of eye health, safety, and available resources

Goal 3: Increase access to medical care and group support through transportation

Goal 4: Provide direct assistance to help clients live independently

Month You're Submitting Data For:
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