Statewide Eyesight Preschooler Screening (StEPS)

The StEPS program offers free vision screening for 4-year-olds at NSW preschools and long day care centres.

It helps find issues early, so children can get the support they need.

Last updated: 17 December 2025
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​​​​​​​​​​​​Why vision screening matters

Young children don't always know if they can't see well, and they rarely complain about their vision.

Their eyes might look fine, but there could be a problem that's easy to miss. Sometimes, a child may see well with one eye but have reduced vision in the other.

The only reliable way to know is to check each eye separately. Finding and treating vision problems early gives the best results.

StEPS: Free eye checks for 4-year-olds

Health staff visit preschools and long day care centres to give free vision checks to 4-year-olds.

It's a quick, easy way to help make sure your child's eyes are developing well before they start school.

The check is recommended at age 4, even if your child won't be starting school the following year.

How to take part

When you get the consent form, fill it in and return it to your early childhood service.

If your child doesn't attend a service or misses the screening visit, contact your local StEPS team to ask about a catch-up clinic.

You can also organise a vision screening through:

  • a local child and family health service
  • an optometrist, or
  • your GP.

After the check

You'll get a letter with your child's results.

If a vision issue is suspected, someone from your local health district will contact you. They may suggest further testing with an eye health professional (like an ophthalmologist, optometrist or orthoptist). Medicare rebates may be available.

If you have any questions about the results or next steps, contact your local StEPS coordinator.

Find a StEPS coordinator

Why follow-up is important

  • Many vision problems are easier to treat when caught early.
  • Vision problems can run in families.
  • A 'lazy eye' can lead to permanent vision loss if not treated early.
  • Children with low birth weight or neurological conditions are more likely to need vision support.
  • Some conditions can only be treated in early childhood.

If your child's results show a possible issue, see an optometrist or eye doctor as soon as you can. Getting help early gives your child the best chance for strong, healthy vision.

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Current as at: Wednesday 17 December 2025