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Try NOT to hold the camera like this! The child may glance at your face instead of the camera and have an off-fixation image that is difficult to interpret.

First familiarize yourself with the function of your photoscreener. If your camera has a fixation light, be ready to use it briefly. Initially, while charging the flash, hold the camera down and engage the child (on parent's lap) in conversation. This is just a simple picture; kids already know how to look at a camera. Dim the lights just bright enough that your can find the face. Digital cameras (ADBC) should be 5-6 feet from child. Avoid having your face, or another interesting person, near the camera to distract child and cause them to NOT focus on the camera! If background luminence is too bright, or if your screening environment has too many distractions, consider using a screening tent, or separate "room" or van.

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This is a much better position with your face behind the camera at the moment you (engage the focusing beams and fixation lights of the MTI) actually take the picture. Even though you may think getting the camera charged over 15 seconds is quick, most children lose interest in looking just at the camera in 5 seconds or less. Therefore, have the camera ready, without distractions, at proper distance, in dim light, and take the image less than 5 seconds from bringing the camera up in front of your face! Feel free to take extra images if your initial attempts don't show both eyes focused and aligned on the camera. The iCheckKids iPhone is not actually an instant flash, but a prolonged LED light- hold camera and child steady.