State Agencies | Online Services

ImpactSIIS Partnership

The Ohio Department of Health is proud to announce the new partnership between the ImpactSIIS program and the Hearing and Vision Screening and Conservation program. As a result of this partnership, new health modules are now available in ImpactSIIS to capture screening and referral data. 

These modules serve as the only universal statewide data collection system for hearing and vision screening and referral data within Ohio. Data can be entered directly into ImpactSIIS or data can be uploaded through a data loader. Please complete the Security Agreement in order to receive direct entry access. Complete, print and submit form according to the instructions.

ODH is providing a sample consent form.  However, it is the responsibility and the decision of the screener and screener’s organization to decide if a consent form is needed and what type of consent form to use.  Please consult with your legal advisor.

A user friendly brochure is also available to assist with any questions regarding the hearing and vision modules.

The Ohio Department of Health offers a free online course for the new hearing and vision screening modules available through OhioTRAIN. This training offers 1 continuing education credit. To access the training instructions, please click: OhioTrain instructions to access the ImpactSIIS A-Z Training.


Hearing Screening Data Loader

Hearing Screening Data Loader File Specifications

Vision Screening Data Loader

Vision Screening Data Loader File Specifications


Last Reviewed: 08/20/2014