vision screening report med 4
Kentucky Eye Examination Form for School Entry
KRS 156.160 (1) (g) requires proof of a vision examination by an optometrist or ophthalmologist. This evidence shall be submitted to the school no later.
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Vision Screening Form - Maryland MVA
Vision Specialists Examination Results and Certification. Exam Date: Please do not enter acuities achieved by telescopic lenses in this chart. Right Eye.
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REPORT OF EYE EXAMINATION - PennDOT
Is individuals combined field of vision at least 120 in the horizontal meridian, (If yes, please complete form DL-102BD) . □ YES □ NO.
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