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Click ‘Get Form’ to open the DMV Vision Examination in the editor.
In Section 1, fill in your driver license number, date of birth, home telephone number, name, and address. Ensure you sign and date the authorization line.
Proceed to Section 2 where your ophthalmologist or optometrist will complete relevant sections based on your recent vision examination. They will indicate if new lenses have been prescribed and provide visual acuity measurements.
In the diagnosis section, check any applicable conditions affecting your vision. If necessary, add comments under 'other diagnosis/comments'.
Complete the prognosis and visual fields sections as instructed by your eye care professional. This includes indicating any visual abnormalities experienced.
Finally, ensure that all required signatures are provided to validate the report before submitting it back to DMV.
Start using our platform today for free to streamline your DMV Vision Examination process!
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Fla. Admin. Code Ann. R. 15A-1.013 | State Regulations
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