Vision examination record form 2025

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Fact: DMV eye charts are designed to evaluate your real-time vision, not memory. The charts details and format can vary, making memorization unreliable.
The Vision Exam 20/60 in one eye and at least 140-degree field of vision. Vision Report Form (DDS-MR-274) completed by a licensed practitioner.
When a customer chooses to cease driving, they may voluntarily surrender their drivers license. They must visit a DDS Customer Service Center and complete the Affidavit for Voluntary Surrender Form (DDS-577).
Regular Class Drivers License 20/60 in one eye and at least 140-degree field of vision.
Record your visual acuity for each eye by noting the line for which you correctly identified either: a) More than half the letters on that line, but not all of them. b) All letters on that line, plus a few letters (less than half) on the next line.
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The visual acuity test measures the clarity or sharpness of your vision. You will look into a vision-testing machine where youll see rows of letters or symbols on a screen. These characters will vary in size.
Drivers who fail the vision screening are referred to a vision specialist who must examine the driver and complete a Report of Vision Examination. Drivers with visual acuity of 20/200 or worse may not be licensed to drive.
Visual acuity is recorded as chart distance (numerator) over the number of the lowest line read (denominator): If the patient reads the 6/6 line but gets 2 letters incorrect, you would record this as 6/6 (-2). If the patient gets more than 2 letters wrong, then the previous line should be recorded as their acuity.

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