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Molina Healthcare Pediatric Vision Screening Training Attestation
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Training Topics Covered:
The importance of pediatric vision screening
Assessment and observation of signs of possible vision problems
Identification of the steps of visual acuity screening and documentation
Necessary equipment and materials to conduct screenings
(Required.)
I hereby attest that I have successfully completed the Pediatric Vision Screening Training, provided by Molina Healthcare in collaboration with California Medi-Cal Managed Care Health Plans, as required by the Department of Health Care Services. I understand that this training is valid for 4 years from the completion date below.
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Please add your information below in acknowledgement of training.
(Required.)
Name and title of person completing training:
Service Location/Provider Address:
Provider NPI:
Completion Date (i.e. 09/05/2025):
To receive a copy of your completed attestation for your records, please check the box labeled “Send me a copy of my responses via email” and enter your email address. This will ensure the attestation completion page is sent directly to your inbox.
Send me a copy of my responses via email
