Parents/Guardians:

SUHSD has been selected to participate in a free eye clinic program that will provide qualified students with free eye exams and eyeglasses. This unique opportunity will grant hundreds of San Diego County students with free eye exams and needed eyeglasses. The clinic is sponsored by Luxottica’s One Sight Program in collaboration with the National School District, National City Host Lions Club and Sweetwater Union High School District.

School nurses will make the determination for students’ in need. In order to participate, read, complete and sign the attached consent form and return it to your child’s school nurse as soon as possible. Only students with a signed consent form will be able to participate in the program.

• 2015 Consent Form (English) 
• 2015 Consent Form (Spanish)
• Authorization for Use or Disclosure of Health Information to School District (English)
• Authorization for Use or Disclosure of Health Information to School District (Spanish)

The National City Eye Clinic will be held from November 2nd to November 5th 2015, dependent on the schools scheduled to attend. This event will take place at National City Camacho Gym at Las Palmas Park located at 1810 East 22nd Street, National City, CA 91950.

Take advantage of this exciting program by completing and returning your consent forms as soon as possible. With questions or for additional information, 
contact the nurse at your child’s school.