Med 4 customer vision report 2010 form-2025

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The MED 4 form is a Customer Vision Report used to request vision examination information from an ophthalmologist or optometrist for DMV purposes. It requires the customer to provide personal information and have their eye care provider complete a vision examination section, which must be conducted within 90 days prior to submission. The report outlines vision standards for driving eligibility and includes instructions for mailing the completed form to the DMV.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (121 Votes)
2016	4.4 Satisfied (117 Votes)
2010	4.4 Satisfied (62 Votes)

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