Mature driver vision test form 2025

1. Click ‘Get Form’ to open the mature driver vision test form in the editor.
2. Begin by entering the doctor’s full name in the designated field, authorizing them to conduct your vision examination.
3. Sign the form in the patient’s signature section, ensuring that your signature matches your identification.
4. Fill in your driver license number and address details accurately, including city, state, and zip code.
5. The physician will need to complete their section by providing their license number, signature, and date of exam after examining your eyes.
6. In the distant vision section, input your visual acuity results for both uncorrected and corrected vision for each eye.
7. Review all entries for accuracy before saving or submitting the completed form electronically through our platform.

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