Ny dmv vision test form 2025

1. Click ‘Get Form’ to open the NY DMV Vision Test Report in our editor.
2. Begin by entering the patient's name exactly as it appears on their driver license, including last name, first name, and middle initial.
3. Fill in the patient's date of birth in the format MM/DD/YY, followed by their sex (Male or Female).
4. Complete the patient’s street address, city, state, country, and zip code accurately.
5. Enter the date of examination using MM/DD/YY format. Then indicate whether the patient achieved a Snellen Test score of 20/40 or better with one or both eyes.
6. Specify if the patient wore corrective lenses during the test by selecting 'YES' or 'NO'. If 'NO', note that form MV-80L must be completed.
7. Provide the name and title of the provider completing this report along with their street address, city, state, country, and zip code.
8. Finally, ensure that the provider signs and includes their professional license number before submitting it to the patient.

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