(2) The screener shall:

• (a) Present each of the tonal stimuli at a hearing level of twenty dB based on the ANSI 1996 Standard;
• (b) Conduct screenings in an environment free of extraneous noise;
• (c) If at all possible, complete screening within the first semester of each school year;
• (d) Place the results of screenings, any referrals, and referral results in each student's health and/or school record; and
• (e) Forward the results to the student's new school if the student transfers.

(3) If the student meets the referral criteria set forth in WAC 246-760-071 during the first vision screening, and the screening was conducted by the school nurse; the school principal or his or her designee; a volunteer who is a licensed vision care professional; or an individual trained by and conducting vision screening on behalf of a nationally recognized service organization that utilizes a test-retest protocol for vision screening, a school may either refer the student after the first screening or rescreen the student at the discretion of the school nurse, or the school principal or his or her designee. (4) A school shall notify a child's parent or guardian with a written referral if a child meets the referral criteria set forth in WAC 246-760-071 during:

• (a) The first screening if a rescreening is not required; or
• (b) The second screening if a rescreening is required or is conducted at the discretion of the school nurse, or the school principal or his or designee. (5) This written referral shall indicate that school-based vision screening is not a substitute for a comprehensive eye examination, include the screening results, and include language recommending that:
• (a) The parent or guardian take the child to a licensed vision care professional to receive a comprehensive eyeexamination; and
• (b) An appropriate remedy, such as corrective lenses, be obtained if indicated.

(5) This written referral shall indicate that school-based vision screening is not a substitute for a comprehensive eye examination, include the screening results, and include language recommending that:

• (a) The parent or guardian take the child to a licensed vision care professional to receive a comprehensive eyeexamination; and
• (b) An appropriate remedy, such as corrective lenses, be obtained if indicated.