P 142op form 2025

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The document is a medical report for eye care professionals in Connecticut, assessing a patient's ability to safely operate a motor vehicle. It requires the medical professional's examination results, including visual acuity and peripheral vision, to determine fitness for driving. The report must be signed by the patient authorizing the release of their medical information to the DMV. It outlines specific vision standards and conditions under which a driver's license may be issued or restricted.

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Click ‘Get Form’ to open the p 142op form in the editor.
Begin by entering the patient's name and date of birth in the designated fields. Ensure that all information is accurate and clearly printed.
Fill in the patient's address, including street, city, state, and zip code. This information is crucial for identification purposes.
Indicate whether corrective lenses are required for driving by selecting 'YES' or 'NO'. If applicable, provide details about visual acuity and any blind spots.
Complete the medical professional's section by entering their name, license number, and signature. This certifies that they have examined the patient within the last 90 days.
Review all entries for accuracy before submitting. Use our platform’s features to save your progress or make edits as needed.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (107 Votes)
2017	4.3 Satisfied (234 Votes)
2013	4 Satisfied (32 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can you pass the DMV vision test with one eye?

Yes, you can legally drive with one eye in California, as long as you meet the minimum vision requirements set by the state Department of Motor Vehicles (DMV). California law is clear that your ability to drive isnt determined by how many eyes you have but by the quality of your vision.

How do I send my vision test to NY DMV?

3 years old: the critical line to pass screening is the 20/50 line. 4 years old: the critical line to pass screening is the 20/40 line. 5 years and older: the critical line to pass screening is the 20/32 line for Sloan and LEA/HOTV (or 20/30 in Snellen chart).

What is a passing score for vision screening?

I dont know about all US states, but the California DMV uses multiple eye charts. One of the reasons why the DMV prohibits people from taking photographs inside their offices is to prevent people from photographing the eye charts and then memorizing them at home.

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